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Organization
LORAN BRUCE MEBINE
Active
Organization
LORAN BRUCE MEBINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN OVERBAY (OFFICE MANAGER)
(415) 664-3089
Entity
Organization
Contact information
Practice address
340 W PORTAL AVE, SAN FRANCISCO, CA 94127-1412
(415) 664-3089
(415) 564-3072
Mailing address
340 W PORTAL AVE, SAN FRANCISCO, CA 94127-1412
(415) 664-3089
(415) 564-3072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4991T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSDOOO160
—
CA
Enumeration date
12/12/2006
Last updated
09/15/2008
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