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Licensing details for: 42341

Name: Baranda, Jose Luis

License Type: Registered Spectacle Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

13250 Civic Center Drive
Apt. # 86
POWAY CA 92064
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Issuance Date

June 24, 2021

Expiration Date

June 30, 2027

Current Date / Time

November 5, 2025
8:57:8 PM

License Relationships

RDO to Registered Spectacle Lens Dispenser

License/Registration Role: Registered Spectacle Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: WAL-MART STORE # 1700

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7024 Primary Status: Current

Address :
13425 COMMUNITY RD
POWAY CA 92064
SAN DIEGO COUNTY

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