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1861040909
LARISA RIVERA
WICHITA, KS
NPI
1861040909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 9682T)
Enumeration Date
2019-09-02
Last Update Date
2019-09-02
Business Address
LARISA RIVERA
949 S GLENDALE ST
WICHITA, KS 67218-3210
Phone number: 316-685-2221
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Mailing Address
LARISA RIVERA
11633 E GEMSTONE LN APT 22
WICHITA, KS 67226-4610
Phone number: 956-222-5192
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