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1326480815
JACQUELYN SUGIANTO
DENTON, TX
NPI
1326480815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 8262-T)
Enumeration Date
2013-07-24
Last Update Date
2022-09-14
Business Address
JACQUELYN SUGIANTO O.D.
2524 LILLIAN MILLER PKWY STE 100
DENTON, TX 76210-7206
Phone number: 940-891-0484
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Mailing Address
JACQUELYN SUGIANTO O.D.
9437 BLUE JAY WAY
IRVING, TX 75063-6404
Phone number: 832-443-7083
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