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1265201925
DER VANG
SURPRISE, AZ
NPI
1265201925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ OPT-002741)
Enumeration Date
2023-12-22
Last Update Date
2024-09-18
Business Address
DER VANG OD
15003 W BELL RD STE 100
SURPRISE, AZ 85374-3244
Phone number: 623-931-2943
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Mailing Address
DER VANG OD
26031 N 53RD DR
PHOENIX, AZ 85083-6349
Phone number: 559-387-9155
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