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1053588756
DARYL SCOTT BAUER
ALEXANDRIA, VA
NPI
1053588756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: VA 3103)
Enumeration Date
2008-05-12
Last Update Date
2008-05-12
Business Address
Mr. DARYL SCOTT BAUER Optician
4680 KING ST
ALEXANDRIA, VA 22302-1215
Phone number: 703-671-1313
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Mailing Address
Mr. DARYL SCOTT BAUER Optician
4680 KING ST
ALEXANDRIA, VA 22302-1215
Phone number: 703-671-1313
Copy
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