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1558586321
THERESA A ANTONE
PRESCOTT VALLEY, AZ
NPI
1558586321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: AZ 435)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
-- THERESA A ANTONE Optician
8516 E STATE ROUTE 69 SUITE #C
PRESCOTT VALLEY, AZ 86314-8805
Phone number: 928-775-9393
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Mailing Address
-- THERESA A ANTONE Optician
8516 E STATE ROUTE 69 SUITE #C
PRESCOTT VALLEY, AZ 86314-8805
Phone number: 928-775-9393
Copy
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