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Individual

JASLEEN KAUR JHAJJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4200
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3878
(312) 225-6200
(312) 949-7389

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
046010827
IL
152W00000X
Optometrist
Primary
OPC5308
FL
152WP0200X
Pediatric Optometrist
046010827
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015570800
FL
Enumeration date
08/07/2014
Last updated
05/07/2018
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