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1760611248
KELLY PHUONG PHAN
PFLUGERVILLE, TX
NPI
1760611248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 7380T)
Enumeration Date
2009-07-06
Last Update Date
2009-07-06
Business Address
Dr. KELLY PHUONG PHAN O.D.
18700 LIMESTONE COMMERCIAL DR
PFLUGERVILLE, TX 78660-6544
Phone number: 512-990-1440
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Mailing Address
Dr. KELLY PHUONG PHAN O.D.
3810 CONCORD DR
ROUND ROCK, TX 78665-1314
Phone number: 405-761-2872
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