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1821591355
CARINE MUNGO TATA
BEAR, DE
NPI
1821591355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: DE I3-0001410)
Enumeration Date
2018-03-12
Last Update Date
2019-10-31
Business Address
Dr. CARINE MUNGO TATA OD
1237 QUINTILIO DR
BEAR, DE 19701-6005
Phone number: 302-838-0800
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Mailing Address
Dr. CARINE MUNGO TATA OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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