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Licensing details for: 12907

Name: PATEL, AVANI V

License Type: Statement of Licensure

Primary Status: Current Primary Status Definition

Address of Record

5345 Sunrise Blvd
FAIR OAKS CA 95628-3546
SACRAMENTO county
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Issuance Date

January 17, 2019

Expiration Date

June 30, 2026

Current Date / Time

November 6, 2025
12:45:6 AM

License Relationships

Statement of Licensure to Optometrist

License/Registration Role: Statement of Licensure

Related Party Role: Optometrist

Name: PATEL, AVANI V

License/Registration Type: Optometrist

License Number: 13830 Primary Status: Current

Address :
4983 N Blackstone Ave
FRESNO CA 93726-0109
FRESNO COUNTY

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