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1740291442
SHANIDA PATSAMARN INGALLA
PALO ALTO, CA
NPI
1740291442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152WL0500X Optometrist, Low Vision Rehabilitation
(Licence: CA 12182T)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
Dr. SHANIDA PATSAMARN INGALLA O.D.
3801 MIRANDA AVE OPTOMETRY #112
PALO ALTO, CA 94304-1207
Phone number: 650-493-5000
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Mailing Address
Dr. SHANIDA PATSAMARN INGALLA O.D.
32803 LAKE MEAD DR
FREMONT, CA 94555-1227
Phone number: 510-441-1470
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