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1609036292
NELSON RIVERA
CARROLLTON, TX
NPI
1609036292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 6002T)
Additional Taxonomies
152W00000X Optometrist
(Licence: PR 446)
Enumeration Date
2008-06-17
Last Update Date
2008-06-17
Business Address
Mr. NELSON RIVERA OD
2110 LARKSPUR DR
CARROLLTON, TX 75010-4134
Phone number: 469-892-6629
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Mailing Address
Mr. NELSON RIVERA OD
PO BOX 117025
CARROLLTON, TX 75011-7025
Phone number: 214-783-5965
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