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Organization
KRISTIE VO O.D, INC
Active
Organization
KRISTIE VO O.D, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIE A VO OD (PRESIDENT)
(714) 334-5237
Entity
Organization
Contact information
Practice address
6445 PATS RANCH RD, SUITE D, MIRA LOMA, CA 91752-4439
(714) 334-5237
(909) 355-8500
Mailing address
27867 CRESCENT CT, MORENO VALLEY, CA 92555-5738
(714) 334-5237
(909) 355-8500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11402T
CA
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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