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1326195892
LI WEN WANG
AUSTIN, TX
NPI
1326195892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 4362TG)
Enumeration Date
2007-01-05
Last Update Date
2008-04-16
Business Address
Dr. LI WEN WANG OD
500 E BEN WHITE BLVD STE D - 600
AUSTIN, TX 78704-7470
Phone number: 512-912-1165
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Mailing Address
Dr. LI WEN WANG OD
4619 PEACH GROVE RD
AUSTIN, TX 78744-3107
Phone number: 512-912-1165
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