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Individual
LAURENCE R RUBIN
Active
Individual
LAURENCE R RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5933
CA
152W00000X
Optometrist
Primary
OPT5933TPA
CA
Other
Enumeration date
11/02/2005
Last updated
08/20/2010
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