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1235825886
DERRICK LAI
RIVERSIDE, CA
NPI
1235825886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT35491-TLG)
Enumeration Date
2023-04-17
Last Update Date
2024-08-21
Business Address
DERRICK LAI
4605 BROCKTON AVE STE 100
RIVERSIDE, CA 92506-0107
Phone number: 951-686-4911
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Mailing Address
DERRICK LAI
1331 W MAITLAND ST
ONTARIO, CA 91762-4739
Phone number: 626-643-4388
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