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1750361424
LOWELL JOHN BOOTH
TUSTIN, CA
NPI
1750361424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT4984 TPL)
Enumeration Date
2006-01-19
Last Update Date
2009-01-23
Business Address
DR. LOWELL JOHN BOOTH OD
1102 IRVINE BLVD
TUSTIN, CA 92780-3529
Phone number: 714-838-3210
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Mailing Address
DR. LOWELL JOHN BOOTH OD
1102 IRVINE BLVD
TUSTIN, CA 92780-3529
Phone number: 714-838-3210
Copy
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