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1528100880
DANIEL H PHAM, LLC.
ROCKFORD, IL
NPI
1528100880
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Entity Type
Organization
Authorized Contact
DANIEL PHAM
President
312-848-2181
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 46008703)
Enumeration Date
2007-02-13
Last Update Date
2014-08-08
Business Address
DANIEL H PHAM, LLC.
3849 NORTHRIDGE DR
ROCKFORD, IL 61114-4773
Phone number: 815-636-0440
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Mailing Address
DANIEL H PHAM, LLC.
4284 VALLEY VIEW DR
LOVES PARK, IL 61111-8658
Phone number:
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