BRANDON RAY LA FUENTE

EDMOND, OK
NPI1316300163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1700X Technician/Technologist, Ocularist
Enumeration Date2016-03-30
Last Update Date2017-04-27
Business Address
-- BRANDON RAY LA FUENTE BCO, BADO
2104 BANDIT PT
EDMOND, OK 73025-2832
Phone number: 405-620-2543
Mailing Address
-- BRANDON RAY LA FUENTE BCO, BADO
2104 BANDIT PT
EDMOND, OK 73025-2832
Phone number: 405-620-2543
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