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1972112555
LIDA HUANG
AUSTIN, TX
NPI
1972112555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224L00000X Pedorthist
Enumeration Date
2020-07-29
Last Update Date
2020-07-29
Business Address
LIDA HUANG BOCPD
7801 N LAMAR BLVD STE C59
AUSTIN, TX 78752-1033
Phone number: 512-374-0818
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Mailing Address
LIDA HUANG BOCPD
7801 N LAMAR BLVD STE C59
AUSTIN, TX 78752-1033
Phone number: 512-374-0818
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