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1407900590
GLENN D ELLISOR
KINGWOOD, TX
NPI
1407900590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: TX 03337TG)
Enumeration Date
2007-01-23
Last Update Date
2007-07-08
Business Address
Dr. GLENN D ELLISOR O.D.
1714 KINGWOOD DR
KINGWOOD, TX 77339-3046
Phone number: 281-359-2020
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Mailing Address
Dr. GLENN D ELLISOR O.D.
2114 GOLDEN POND DR
KINGWOOD, TX 77345-1636
Phone number: 281-359-2020
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