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1467884478
JASON JOSEPH IDICULLA
SUGAR LAND, TX
NPI
1467884478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 8235T)
Enumeration Date
2013-07-31
Last Update Date
2018-09-12
Business Address
Dr. JASON JOSEPH IDICULLA O.D.
14897 SOUTHWEST FWY
SUGAR LAND, TX 77478-5016
Phone number: 281-265-1001
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Mailing Address
Dr. JASON JOSEPH IDICULLA O.D.
14897 SOUTHWEST FWY
SUGAR LAND, TX 77478-5016
Phone number: 281-265-1001
Copy
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