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1790479996
LAI JIANG
SUN PRAIRIE, WI
NPI
1790479996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 3913-35)
Enumeration Date
2023-06-08
Last Update Date
2023-06-08
Business Address
LAI JIANG OD
1721 W MAIN ST
SUN PRAIRIE, WI 53590-3161
Phone number: 608-837-7325
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Mailing Address
LAI JIANG OD
4847 E ROUTE 36
DECATUR, IL 62521-9736
Phone number: 217-425-3219
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