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1922483403
MALINA KHAMVONGSA
FRISCO, TX
NPI
1922483403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 8718T)
Enumeration Date
2015-07-24
Last Update Date
2015-07-24
Business Address
Dr. MALINA KHAMVONGSA O.D.
12220 FM 423
FRISCO, TX 75033-5222
Phone number: 214-387-9880
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Mailing Address
Dr. MALINA KHAMVONGSA O.D.
13242 SE HA PAYAK RD
FORT WORTH, TX 76244
Phone number:
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