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1467974634
FAIR LAKES OPTOMETRY
FAIRFAX, VA
NPI
1467974634
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Entity Type
Organization
Authorized Contact
ANH NGUYEN
Optometrist
571-435-4558
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618002149)
Enumeration Date
2017-07-10
Last Update Date
2017-07-25
Business Address
FAIR LAKES OPTOMETRY
13047 FAIR LAKES SHOPPING CTR
FAIRFAX, VA 22033-5179
Phone number: 703-502-3090
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Mailing Address
FAIR LAKES OPTOMETRY
12587 FAIR LAKES CIR # 502
FAIRFAX, VA 22033-3822
Phone number: 703-502-3090
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