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1417077710
KHAI GIA PHAN
MIAMI GARDENS, FL
NPI
1417077710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC3501)
Enumeration Date
2007-03-30
Last Update Date
2015-03-05
Business Address
Dr. KHAI GIA PHAN O.D.
19501 NW 27TH AVE
MIAMI GARDENS, FL 33056-2521
Phone number: 305-974-2588
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Mailing Address
Dr. KHAI GIA PHAN O.D.
19501 NW 27TH AVE
MIAMI GARDENS, FL 33056-2521
Phone number: 305-974-2588
Copy
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