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Individual
JIMMY VO
Active
Individual
JIMMY VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1659129880
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/13/2024
Last updated
06/27/2024
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