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1790455095
THARA ABU-MALLOUH
JACKSONVILLE, FL
NPI
1790455095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC6013)
Enumeration Date
2021-09-17
Last Update Date
2021-09-17
Business Address
THARA ABU-MALLOUH OD
7205 BENTLEY RD
JACKSONVILLE, FL 32256-7565
Phone number: 904-296-0098
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Mailing Address
THARA ABU-MALLOUH OD
7205 BENTLEY RD
JACKSONVILLE, FL 32256-7565
Phone number: 904-296-0098
Copy
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