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1417050220
PHONG LE
WICHITA, KS
NPI
1417050220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: KS 1459)
Enumeration Date
2006-09-07
Last Update Date
2007-07-09
Business Address
Dr. PHONG LE O.D.
253 N HILLSIDE ST
WICHITA, KS 67214-4903
Phone number: 316-683-3078
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Mailing Address
Dr. PHONG LE O.D.
253 N HILLSIDE ST
WICHITA, KS 67214-4903
Phone number: 316-683-3078
Copy
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