JONATHAN GLENN DESHAW

GARLAND, TX
NPI1407160815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: TX  7628TG)
Enumeration Date2010-07-28
Last Update Date2011-07-22
Business Address
-- JONATHAN GLENN DESHAW O.D.
2636 W WALNUT ST STE 200
GARLAND, TX 75042-6441
Phone number: 972-485-0700
Mailing Address
-- JONATHAN GLENN DESHAW O.D.
2636 W WALNUT ST STE 200
GARLAND, TX 75042-6441
Phone number: 972-485-0700
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