RANDY L LIGHT

PEORIA, IL
NPI1124060074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1700X Technician/Technologist, Ocularist
(Licence: IL  203.000116)
Enumeration Date2006-06-12
Last Update Date2009-07-03
Business Address
Mr. RANDY L LIGHT B.C.O., B.A.D.O.
1318 W CANDLETREE DR SUITE 3
PEORIA, IL 61614-8508
Phone number: 309-676-3663
Mailing Address
Mr. RANDY L LIGHT B.C.O., B.A.D.O.
1318 W CANDLETREE DR SUITE 3
PEORIA, IL 61614-8508
Phone number: 309-676-3663
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