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1689635500
STACIE L VIRDEN
WACO, TX
NPI
1689635500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 5464TG)
Enumeration Date
2006-03-30
Last Update Date
2019-05-29
Business Address
Dr. STACIE L VIRDEN OD
1000 W HIGHWAY 6 SUITE 210
WACO, TX 76712-3786
Phone number: 254-776-8119
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Mailing Address
Dr. STACIE L VIRDEN OD
1000 W HIGHWAY 6 SUITE 210
WACO, TX 76712-3786
Phone number: 254-776-8119
Copy
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