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1992567010
AEG 5 TX PROFESSIONAL, PLLC
COPPELL, TX
NPI
1992567010
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Entity Type
Organization
Authorized Contact
MELISSA ALLISON
Sr. Dir. Mvc
618-462-9818
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2024-01-24
Last Update Date
2024-01-24
Business Address
AEG 5 TX PROFESSIONAL, PLLC
541 E SANDY LAKE RD
COPPELL, TX 75019-3090
Phone number: 972-393-3937
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Mailing Address
AEG 5 TX PROFESSIONAL, PLLC
111 E 4TH ST STE 440
ALTON, IL 62002-6206
Phone number: 618-462-9818
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