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1114088796
PETER DISALVO
SANTA ROSA, CA
NPI
1114088796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA CA5653T)
Enumeration Date
2006-12-13
Last Update Date
2021-03-27
Business Address
DR. PETER DISALVO OD
2320 MIDWAY DR
SANTA ROSA, CA 95405-5017
Phone number: 707-526-2020
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Mailing Address
DR. PETER DISALVO OD
2624 KNOLLS DR
SANTA ROSA, CA 95405-8302
Phone number: 510-684-7788
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