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1720335003
DEAN FASCIANI
SACATON, AZ
NPI
1720335003
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Former Name
DEAN HAURYLUCK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 1871)
Enumeration Date
2012-08-06
Last Update Date
2014-05-07
Business Address
-- DEAN FASCIANI OD
483 W. SEED FARM RD
SACATON, AZ 85147-0038
Phone number: 602-528-1200
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Mailing Address
-- DEAN FASCIANI OD
PO BOX 38
SACATON, AZ 85147-0001
Phone number: 602-528-1200
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