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1376551119
LAWRENCE HOWARD BAUER
ALEXANDRIA, VA
NPI
1376551119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1100X Technician/Technologist, Ophthalmic
(Licence: VA 659)
Enumeration Date
2006-08-04
Last Update Date
2008-02-05
Business Address
Mr. LAWRENCE HOWARD BAUER Optician
4680 KING ST
ALEXANDRIA, VA 22302-1215
Phone number: 703-671-1313
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Mailing Address
Mr. LAWRENCE HOWARD BAUER Optician
4680 KING ST
ALEXANDRIA, VA 22302-1215
Phone number: 703-671-1313
Copy
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