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1932738481
ENRIQUE METTA FALLENA
CHULA VISTA, CA
NPI
1932738481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: CA 40581)
Enumeration Date
2020-04-06
Last Update Date
2020-04-06
Business Address
Mr. ENRIQUE METTA FALLENA Optician
651 PALOMAR ST STE A17
CHULA VISTA, CA 91911-2663
Phone number: 619-992-4291
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Mailing Address
Mr. ENRIQUE METTA FALLENA Optician
651 PALOMAR ST STE A17
CHULA VISTA, CA 91911-2663
Phone number: 619-992-4291
Copy
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