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Individual

DEBORAH SUSAN JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1412 W STATE HIGHWAY 71, SUITE 109, BASTROP, TX 78602-3485
(512) 303-5959
(512) 332-2332
Mailing address
112 SPANISH TRL, BASTROP, TX 78602-3584
(512) 332-0034

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5230TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5230TG
STATE BOARD OF EXAMINERS
TX
Enumeration date
10/10/2005
Last updated
07/08/2007
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