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Individual
KHA TU DO
Active
Individual
KHA TU DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12565T
CA
Other
Enumeration date
03/01/2006
Last updated
10/15/2024
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