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1750426524
MATTHEW LA
POWAY, CA
NPI
1750426524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 12483T)
Enumeration Date
2007-02-20
Last Update Date
2017-02-20
Business Address
Dr. MATTHEW LA OD
12155 TECH CENTER DRIVE
POWAY, CA 92064-7325
Phone number: 858-391-1411
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Mailing Address
Dr. MATTHEW LA OD
12155 TECH CENTER DRIVE
POWAY, CA 92064-7325
Phone number: 858-391-1411
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