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1720077928
FERNANDO F MOSQUEDA
EVANSTON, IL
NPI
1720077928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046008203)
Enumeration Date
2005-10-19
Last Update Date
2007-07-08
Business Address
Dr. FERNANDO F MOSQUEDA o.d.
520 MAIN ST
EVANSTON, IL 60202-1815
Phone number: 847-869-2020
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Mailing Address
Dr. FERNANDO F MOSQUEDA o.d.
623 W DRUMMOND PL
CHICAGO, IL 60614-1693
Phone number: 773-935-3002
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