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1154413797
LEANNE M LIDDICOAT
ROSEVILLE, CA
NPI
1154413797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152WV0400X Optometrist, Vision Therapy
(Licence: CA 11076T)
Enumeration Date
2006-09-29
Last Update Date
2010-11-08
Business Address
-- LEANNE M LIDDICOAT O.D.
114 N SUNRISE AVE SUITE C2
ROSEVILLE, CA 95661-2916
Phone number: 916-786-2212
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Mailing Address
-- LEANNE M LIDDICOAT O.D.
114 N SUNRISE AVE SUITE C2
ROSEVILLE, CA 95661-2916
Phone number: 916-786-2212
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