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1275297244
IRENE LUIS ANTONIO
HUNTINGTON BEACH, CA
NPI
1275297244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: CA 42101)
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
IRENE LUIS ANTONIO
10011 ADAMS AVE
HUNTINGTON BEACH, CA 92646-4904
Phone number: 714-845-2002
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Mailing Address
IRENE LUIS ANTONIO
1 CVS DRIVE MAIL STOP #3005
WOONSOCKET, RI 02895
Phone number: 401-770-2286
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