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Licensing details for: 14042

Name: NGUYEN, JENNIE

License Type: Optometrist

Primary Status: Current Primary Status Definition

Specialty: TLGPrimary Status Definition

Address of Record

7505 Laguna Blvd
Target Optometry Office
ELK GROVE CA 95758-5061
SACRAMENTO county
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Issuance Date

July 26, 2010

Expiration Date

February 28, 2027

Current Date / Time

November 6, 2025
4:0:3 PM

License Relationships

Fictitious Name Permit to Optometrist

License/Registration Role: Optometrist

Related Party Role: Fictitious Name Permit

Name: EYE-MINDED OPTOMETRY

License/Registration Type: Fictitious Name Permit

License Number: 7103 Primary Status: Current

Address :
7505 Laguna Blvd
ELK GROVE CA 95758

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Registered Dispensing Optician/Optometrist Co-Location

License/Registration Role: Optometrist

Related Party Role: Registered Dispensing Ophthalmic Business

Name: TARGET OPTICAL #9676

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 70793 Primary Status: Current

Address :
7505 Laguna Blvd
ELK GROVE CA 95758-5061
SACRAMENTO COUNTY

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