BAO PHAN

SANFORD, FL
NPI1982019618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: FL  OPC 4911)
Enumeration Date2014-06-20
Last Update Date2014-06-20
Business Address
-- BAO PHAN
2053 WP BALL BLVD
SANFORD, FL 32771
Phone number: 407-322-9176
Mailing Address
-- BAO PHAN
2053 WP BALL BLVD
SANFORD, FL 32771
Phone number:
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