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1114193604
LA FUENTE OCULAR PROSTHETICS
OKLAHOMA CITY, OK
NPI
1114193604
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Entity Type
Organization
Authorized Contact
BRANDON LA FUENTE
Manager
405-236-2882
Organization Subpart ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2008-05-05
Last Update Date
2008-05-05
Business Address
LA FUENTE OCULAR PROSTHETICS
1116 N ROBINSON AVE
OKLAHOMA CITY, OK 73103-4918
Phone number: 405-236-2882
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Mailing Address
LA FUENTE OCULAR PROSTHETICS
1116 N ROBINSON AVE
OKLAHOMA CITY, OK 73103-4918
Phone number: 405-236-2882
Copy
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