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1639721392
SHANE LUCAS TIBILETTI
HURST, TX
NPI
1639721392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 9738T)
Enumeration Date
2019-07-12
Last Update Date
2019-07-13
Business Address
Dr. SHANE LUCAS TIBILETTI OD
1101 MELBOURNE RD # 217
HURST, TX 76053-6205
Phone number: 817-284-0798
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Mailing Address
Dr. SHANE LUCAS TIBILETTI OD
1101 MELBOURNE RD # 217
HURST, TX 76053-6205
Phone number: 817-284-0798
Copy
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