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1194889220
BRENDAN RICHARD JAMES
MODESTO, CA
NPI
1194889220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 12588T)
Enumeration Date
2006-12-21
Last Update Date
2020-03-12
Business Address
BRENDAN RICHARD JAMES OD
1019 16TH ST
MODESTO, CA 95354-1105
Phone number: 209-526-2737
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Mailing Address
BRENDAN RICHARD JAMES OD
1019 16TH ST
MODESTO, CA 95354-1105
Phone number: 209-526-2737
Copy
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