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1104037456
BARBARA JEAN VILLA
TUSTIN, CA
NPI
1104037456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT 10245 TPA)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
-- BARBARA JEAN VILLA O.D.
2700 PARK AVENUE
TUSTIN, CA 92782
Phone number: 714-259-1530
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Mailing Address
-- BARBARA JEAN VILLA O.D.
28331 LA PLUMOSA
LAGUNA NIGUEL, CA 92677-7050
Phone number: 949-400-1530
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