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1710178462
SCOTT SONG
ALEXANDRIA, VA
NPI
1710178462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618001652)
Enumeration Date
2007-08-07
Last Update Date
2007-08-07
Business Address
-- SCOTT SONG OD
7702 H MOUNT VERNON PLAZA SPACE 63
ALEXANDRIA, VA 22306
Phone number: 703-717-0737
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Mailing Address
-- SCOTT SONG OD
11103 WEST AVE 6
SAN ANTONIO, TX 78213-1370
Phone number: 210-524-6509
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