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1881753515
MARISA S PRAMONO
RIVERSIDE, CA
NPI
1881753515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA OPT9554TPA)
Enumeration Date
2006-12-08
Last Update Date
2008-09-23
Business Address
MARISA S PRAMONO OD
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000
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Mailing Address
MARISA S PRAMONO OD
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000
Copy
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