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License Number LTO-3000001294535
Name of Establishment Corner Bakery and General Merchandise
Owner Majella L. Lopez
Address 0116 P. Zamora Street, Barangay Poblacion, San Jose, Occidental Mindoro
Region Mimaropa (Region IV-B)
Activity Food Manufacturer
Issuance Date 30 August 2017
Expiry Date 30 August 2019