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1134274780
EUGENE GREEN
LOS ANGELES, CA
NPI
1134274780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT7673TPL)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
-- EUGENE GREEN O.D.
1818 S WESTERN AVE STE.101
LOS ANGELES, CA 90006-5807
Phone number: 323-731-2474
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Mailing Address
-- EUGENE GREEN O.D.
876 S NORTON AVE
LOS ANGELES, CA 90005-3656
Phone number: 323-731-2474
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