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Organization
ROBERT J. GRAHAM O.D. INC
Active
Organization
ROBERT J. GRAHAM O.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JACKSON GRAHAM O.D. (PRESIDENT)
(805) 646-8510
Entity
Organization
Contact information
Practice address
635 E OJAI AVE, OJAI, CA 93023-2822
(805) 646-8510
(805) 646-2968
Mailing address
PO BOX 880, OJAI, CA 93024-0880
(805) 646-8510
(805) 646-2968
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP8729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD00872901
—
CA
Enumeration date
01/11/2013
Last updated
01/11/2013
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