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1104880129
LARRY R FABIAN
SAN JOSE, CA
NPI
1104880129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT 6909 TPL)
Enumeration Date
2006-04-14
Last Update Date
2007-07-08
Business Address
DR. LARRY R FABIAN OD
1817 HAMILTON AVE
SAN JOSE, CA 95125
Phone number: 408-264-1555
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Mailing Address
DR. LARRY R FABIAN OD
18660 VISTA DE ALMADEN
SAN JOSE, CA 95120
Phone number: 408-268-7621
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