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Organization
STEVEN D HOLMSTROM O D INC
Active
Organization
STEVEN D HOLMSTROM O D INC
Active
Other names
Canyon Lake Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN D HOLMSTROM O.D. (PRESIDENT)
(951) 244-4444
Entity
Organization
Contact information
Practice address
31722 RAILROAD CANYON RD, CANYON LAKE, CA 92587-9486
(951) 244-4444
Mailing address
31722 RAILROAD CANYON RD, CANYON LAKE, CA 92587-9486
(951) 244-4444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11993
CA
Other
Enumeration date
01/30/2009
Last updated
07/29/2009
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