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1316729569
BRENDAN QUALLS
RANCHO CUCAMONGA, CA
NPI
1316729569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 36187)
Enumeration Date
2023-10-20
Last Update Date
2026-07-01
Business Address
BRENDAN QUALLS
9596 BASE LINE RD
RANCHO CUCAMONGA, CA 91701-5034
Phone number: 909-787-1760
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Mailing Address
BRENDAN QUALLS
9596 BASE LINE RD
RANCHO CUCAMONGA, CA 91701-5034
Phone number:
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