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1427014075
STACEY ALLAN WENGER
TAMPA, FL
NPI
1427014075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC 2760)
Enumeration Date
2006-04-24
Last Update Date
2014-02-19
Business Address
Dr. STACEY ALLAN WENGER O.D.
14901 N DALE MABRY HWY
TAMPA, FL 33618-1801
Phone number: 813-960-8958
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Mailing Address
Dr. STACEY ALLAN WENGER O.D.
14901 N DALE MABRY HWY
TAMPA, FL 33618-1801
Phone number:
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