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1164491478
NICKOLAS ANTHONY SCAVO
FULLERTON, CA
NPI
1164491478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT 8023 TPA)
Enumeration Date
2006-03-17
Last Update Date
2007-07-08
Business Address
Dr. NICKOLAS ANTHONY SCAVO O.D.
900 S HARBOR BLVD
FULLERTON, CA 92832-3025
Phone number: 714-525-9003
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Mailing Address
Dr. NICKOLAS ANTHONY SCAVO O.D.
24673 LAS PATRANAS
YORBA LINDA, CA 92887-5114
Phone number: 714-692-2631
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