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Individual
DR. THOMAS RALPH CASAGRANDE
Active
Individual
DR. THOMAS RALPH CASAGRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7751T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7751T
LICENSE
CA
01
—
810637142
TAX ID
CA
Enumeration date
03/07/2007
Last updated
05/02/2008
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