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1831153881
JEFFREY M FANELLI
SAN JOSE, CA
NPI
1831153881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT 8168 TPL)
Enumeration Date
2006-04-14
Last Update Date
2011-05-25
Business Address
Dr. JEFFREY M FANELLI OD
1817 HAMILTON AVE
SAN JOSE, CA 95725
Phone number: 408-264-1555
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Mailing Address
Dr. JEFFREY M FANELLI OD
1412 ARROYO SECO DR
CAMPBELL, CA 95008
Phone number: 408-559-4517
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