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Licensing details for: 1573

Name: TABORDA, GABRIEL ANDRES

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

1415 Manchester Way
TUSTIN CA 92782-1785
ORANGE county
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Issuance Date

June 2, 2006

Expiration Date

January 31, 2026

Current Date / Time

November 5, 2025
6:12:19 PM

License Relationships

RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO WHOLESALE #445

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6833 Primary Status: Current

Address :
22633 SAVI RANCH PKWY
YORBA LINDA CA 92887
ORANGE COUNTY

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RDO to Registered Contact Lens Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Dispensing Ophthalmic Business

Name: COSTCO # 1001

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 7265 Primary Status: Current

Address :
2700 PARK AVENUE
TUSTIN CA 92782
ORANGE COUNTY

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