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1740620376
DIANE SHAHARA JAMOUA
GRANDVILLE, MI
NPI
1740620376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901004760)
Enumeration Date
2013-06-27
Last Update Date
2021-04-27
Business Address
DR. DIANE SHAHARA JAMOUA O.D.
4555 WILSON AVE SW
GRANDVILLE, MI 49418-2370
Phone number: 616-249-8490
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Mailing Address
DR. DIANE SHAHARA JAMOUA O.D.
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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