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Licensing details for: 9284

Name: Gamboa, Andrew Peter

License Type: Registered Contact Lens Dispenser

Primary Status: Current Primary Status Definition

Address of Record

2453 Pine Valley Gln
ESCONDIDO CA 92026-1439
SAN DIEGO county
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Issuance Date

July 2, 2025

Expiration Date

July 31, 2027

Current Date / Time

November 6, 2025
12:11:59 AM

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 # 775

License/Registration Type: Registered Dispensing Ophthalmic Business

License Number: 6993 Primary Status: Current

Address :
12155 TECH CENTER DR
POWAY CA 92064
SAN DIEGO COUNTY

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SLD Dispenser & CLD Dispenser

License/Registration Role: Registered Contact Lens Dispenser

Related Party Role: Registered Spectacle Lens Dispenser

Name: Gamboa, Andrew Peter

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43801 Primary Status: Current

Address :
2453 Pine Valley Gln
ESCONDIDO CA 92026-1439

Map

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