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1821419979
DEMENTRE HOLMES
GLENDALE, AZ
NPI
1821419979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: AZ 2447i)
Enumeration Date
2013-12-16
Last Update Date
2021-05-03
Business Address
Mr. DEMENTRE HOLMES optician
11409 N 58TH DR
GLENDALE, AZ 85304-3312
Phone number: 480-577-7096
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Mailing Address
Mr. DEMENTRE HOLMES optician
11409 N 58TH DR
GLENDALE, AZ 85304-3312
Phone number: 480-577-7096
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