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1194728527
HOLLIS LOREN STAVN
SANTA ROSA, CA
NPI
1194728527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 6812T)
Enumeration Date
2005-05-31
Last Update Date
2012-12-20
Business Address
Dr. HOLLIS LOREN STAVN O.D.
2305 MENDOCINO AVE STE B
SANTA ROSA, CA 95403-3157
Phone number: 707-527-9137
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Mailing Address
Dr. HOLLIS LOREN STAVN O.D.
2305 MENDOCINO AVE STE B
SANTA ROSA, CA 95403-3157
Phone number: 707-527-9137
Copy
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