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1700498672
ENIAN KALLAMATA
MEDFORD, MA
NPI
1700498672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MA 5418)
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
ENIAN KALLAMATA OD, MS
63 STATION LNDG
MEDFORD, MA 02155-5192
Phone number: 781-393-5367
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Mailing Address
ENIAN KALLAMATA OD, MS
5 BLUE JAY CIR
BOSTON, MA 02126-1994
Phone number: 857-492-6188
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