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1265099154
ELENA LOPEZ CHAN
PORT CHARLOTTE, FL
NPI
1265099154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC5646)
Enumeration Date
2019-05-26
Last Update Date
2024-02-21
Business Address
ELENA LOPEZ CHAN
18500 VETERANS BLVD UNIT 4
PORT CHARLOTTE, FL 33954-1035
Phone number: 941-743-7449
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Mailing Address
ELENA LOPEZ CHAN
2623 SW 4TH LN
CAPE CORAL, FL 33991-1118
Phone number:
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