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1457848319
CARLOS L GRANDELA
MESA, AZ
NPI
1457848319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046011198)
Enumeration Date
2018-04-17
Last Update Date
2024-01-10
Business Address
CARLOS L GRANDELA OD
1830 S ALMA SCHOOL RD STE 131
MESA, AZ 85210-3088
Phone number: 480-924-8755
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Mailing Address
CARLOS L GRANDELA OD
3241 S MICHIGAN AVE
CHICAGO, IL 60616-4201
Phone number: 312-949-7751
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