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JEMILA ABDULGABBAR OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1063047355

Individual Registrant:
 JEMILA  ABDULGABBAR OD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3875 US HIGHWAY 301 S STE 5  RIVERVIEW, FL 33578-3572 US
Tel: 813-246-3186  Fax: --

Contact information for business:
PO BOX 207151  DALLAS, TX 75320-7151 US
Tel: --  Fax: --

Registration Information:
NPI: 1063047355
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
FLOPC5765

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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