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Individual

ELLENER HARPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1449 AVONDALE HASLET RD, HASLET, TX 76052-3510
(817) 439-5400
Mailing address
9232 OLDWEST TRL, FORT WORTH, TX 76131-3114
(757) 334-2957

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10032TG
TX

Other

Enumeration date
07/13/2020
Last updated
06/28/2024
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