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1619029303
BRENDA DEFORREST
ORLANDO, FL
NPI
1619029303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC2617)
Enumeration Date
2007-01-16
Last Update Date
2013-12-23
Business Address
Dr. BRENDA DEFORREST OD, PA
5006 DR PHILLIPS BLVD
ORLANDO, FL 32819-3310
Phone number: 407-298-8819
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Mailing Address
Dr. BRENDA DEFORREST OD, PA
1412 DEVON RD
WINTER PARK, FL 32789-5419
Phone number: 407-579-6450
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