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Individual

AUGUSTINE PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 E STATE ST, REDLANDS, CA 92373-5233
(951) 201-6311
Mailing address
200 E STATE ST, REDLANDS, CA 92373-5233

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
03/22/2021
Last updated
05/19/2021
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