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1780117572
JEFFREY R FARDINK
RICHMOND, VA
NPI
1780117572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618002568)
Enumeration Date
2017-04-07
Last Update Date
2017-05-31
Business Address
-- JEFFREY R FARDINK O.D.
5617 W BROAD ST
RICHMOND, VA 23230-2614
Phone number: 804-282-7228
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Mailing Address
-- JEFFREY R FARDINK O.D.
5617 W BROAD ST
RICHMOND, VA 23230-2614
Phone number: 804-282-7228
Copy
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