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1225468473
DR. JASON IDICULLA O.D. PA
HOUSTON, TX
NPI
1225468473
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Entity Type
Organization
Authorized Contact
JASON IDICULLA
Optometrist
954-907-4966
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 8235TG)
Enumeration Date
2013-11-24
Last Update Date
2013-11-24
Business Address
DR. JASON IDICULLA O.D. PA
3271 SOUTHWEST FWY SUITE A
HOUSTON, TX 77027-7503
Phone number: 954-907-4966
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Mailing Address
DR. JASON IDICULLA O.D. PA
2222 SMITH ST APT. 434
HOUSTON, TX 77002-8735
Phone number:
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