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1457950008
MEDI LEE PHAN
HURST, TX
NPI
1457950008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 10072)
Enumeration Date
2020-10-23
Last Update Date
2020-10-23
Business Address
MEDI LEE PHAN OD
1101 MELBOURNE RD STE 3002
HURST, TX 76053-6225
Phone number: 817-284-0798
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Mailing Address
MEDI LEE PHAN OD
900 LAKE CAROLYN PKWY APT 533
IRVING, TX 75039-4650
Phone number:
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