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1447692793
DEJANA GRK
PHOENIX, AZ
NPI
1447692793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152WP0200X Optometrist, Pediatrics
(Licence: CA OPT33832)
Enumeration Date
2013-07-26
Last Update Date
2018-07-31
Business Address
Miss DEJANA GRK OD
1331 N 7TH ST
PHOENIX, AZ 85006
Phone number: 602-222-2234
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Mailing Address
Miss DEJANA GRK OD
3701 WILSHIRE BLVD STE 600
LOS ANGELES, CA 90010-2814
Phone number: 323-361-3550
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