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1821831454
FAISAL RASOOLI
FORT WAYNE, IN
NPI
1821831454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18004527A)
Enumeration Date
2024-06-12
Last Update Date
2024-07-08
Business Address
FAISAL RASOOLI OD
3401 LAKE AVE
FORT WAYNE, IN 46805-5500
Phone number: 260-426-3095
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Mailing Address
FAISAL RASOOLI OD
8614 WESTWOOD CENTER DR FL 9
VIENNA, VA 22182-2442
Phone number: 703-847-8899
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