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Individual

DR. JACKLYN ALAQUINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
301 10TH ST STE 3, FLORESVILLE, TX 78114-3197
(830) 393-7744
(830) 393-7703
Mailing address
205B W WATER ST, KERRVILLE, TX 78028-4252
(830) 896-2600

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8641TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351700501
TX
Enumeration date
05/14/2015
Last updated
01/03/2019
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