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1093120701
RADOSLAV IVANOV
ALLENTOWN, PA
NPI
1093120701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: PA OEG002925)
Enumeration Date
2014-06-23
Last Update Date
2016-05-30
Business Address
-- RADOSLAV IVANOV OD
401 N 17TH ST SUITE 103
ALLENTOWN, PA 18104-5034
Phone number: 610-969-3070
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Mailing Address
-- RADOSLAV IVANOV OD
401 N 17TH ST SUITE 103
ALLENTOWN, PA 18104-5034
Phone number: 610-969-3070
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