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1295029072
JAMES LICATA
MESA, AZ
NPI
1295029072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: AZ 748)
Enumeration Date
2011-06-08
Last Update Date
2011-06-08
Business Address
JAMES LICATA LDO
2048 E BASELINE RD # C-6
MESA, AZ 85204-6969
Phone number: 480-632-5075
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Mailing Address
JAMES LICATA LDO
2048 E BASELINE RD # C-6
MESA, AZ 85204-6969
Phone number: 480-632-5075
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