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1154623254
MELODY DEBORAH TAVAKOLI
SAN DIEGO, CA
NPI
1154623254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 14039)
Enumeration Date
2010-11-22
Last Update Date
2022-04-27
Business Address
MELODY DEBORAH TAVAKOLI O.D.
5680 BALBOA AVE
SAN DIEGO, CA 92111-2706
Phone number: 858-278-2837
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Mailing Address
MELODY DEBORAH TAVAKOLI O.D.
PO BOX 3358
SAN DIEGO, CA 92163-1358
Phone number: 818-516-8753
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