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1699766949
TAN-LONG PHAM
CAPE CORAL, FL
NPI
1699766949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: FL opc4085)
Enumeration Date
2005-11-03
Last Update Date
2020-09-30
Business Address
Dr. TAN-LONG PHAM MS, OD
316 DEL PRADO BLVD S
CAPE CORAL, FL 33990-1710
Phone number: 239-226-2640
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Mailing Address
Dr. TAN-LONG PHAM MS, OD
PO BOX 919771
ORLANDO, FL 32891-9771
Phone number: 239-278-3600
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