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1750582326
DOUGLAS EBBINK
GLENDALE, CA
NPI
1750582326
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: CA D3290)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS EBBINK Optician
1808 VERDUGO BLVD #120 VERDUGO OPTICAL
GLENDALE, CA 91208-1477
Phone number: 818-952-1124
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Mailing Address
Mr. DOUGLAS EBBINK Optician
1808 VERDUGO BLVD #120
GLENDALE, CA 91208-1477
Phone number: 818-952-1124
Copy
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