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1497138572
WADE ELLISOR
KINGWOOD, TX
NPI
1497138572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 8715-T)
Enumeration Date
2015-07-07
Last Update Date
2015-07-07
Business Address
-- WADE ELLISOR OD
1714 KINGWOOD DR
KINGWOOD, TX 77339-3046
Phone number: 281-359-2020
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Mailing Address
-- WADE ELLISOR OD
1714 KINGWOOD DR
KINGWOOD, TX 77339-3046
Phone number: 281-359-2020
Copy
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