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1598797110
GLENN ALLAN VALLETTA
STUART, FL
NPI
1598797110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL 1710)
Enumeration Date
2006-07-06
Last Update Date
2009-06-18
Business Address
-- GLENN ALLAN VALLETTA
5066 SE FEDERAL HWY
STUART, FL 34997-6627
Phone number: 772-286-0021
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Mailing Address
-- GLENN ALLAN VALLETTA
5066 SE FEDERAL HWY
STUART, FL 34997-6627
Phone number:
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