AUSTIN WALLACE

ORANGE, CA
NPI1831754209
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: CA  5200)
Enumeration Date2019-05-01
Last Update Date2019-05-01
Business Address
AUSTIN WALLACE RSLD
2138 N TUSTIN ST
ORANGE, CA 92865-3712
Phone number: 714-450-4487
Mailing Address
AUSTIN WALLACE RSLD
11605 N LAMAR BLVD
AUSTIN, TX 78753-2658
Phone number: 737-222-6996
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