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1649220013
THEODORE PETER FORTUNA
BATAVIA, NY
NPI
1649220013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1100X Technician/Technologist, Ophthalmic
(Licence: NY 5041)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
-- THEODORE PETER FORTUNA Ophthalmic Dispenser
113 MAIN ST STE 2
BATAVIA, NY 14020
Phone number: 585-344-1345
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Mailing Address
-- THEODORE PETER FORTUNA Ophthalmic Dispenser
113 MAIN ST STE 2
BATAVIA, NY 14020
Phone number: 585-344-1345
Copy
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