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1366552432
KOSOL VIPAPAN
PASADENA, CA
NPI
1366552432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT10602TPA)
Enumeration Date
2006-08-30
Last Update Date
2021-04-16
Business Address
KOSOL VIPAPAN O.D.
1136 E GREEN ST
PASADENA, CA 91106-2500
Phone number: 626-792-9979
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Mailing Address
KOSOL VIPAPAN O.D.
1400 BELLWOOD RD
SAN MARINO, CA 91108-2713
Phone number: 626-379-9927
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