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1477674992
IRENE FOTIADIS
PHILADELPHIA, PA
NPI
1477674992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: PA 274722379)
Enumeration Date
2007-04-02
Last Update Date
2012-01-19
Business Address
Mrs. IRENE FOTIADIS OPTICIAN
10752 BUSTLETON AVE
PHILADELPHIA, PA 19116-3367
Phone number: 215-698-7450
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Mailing Address
Mrs. IRENE FOTIADIS OPTICIAN
10752 BUSTLETON AVE
PHILADELPHIA, PA 19116-3367
Phone number: 215-698-7450
Copy
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