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Organization
RAYMOND F PEDERSEN O.D. PROFESSIONAL
Active
Organization
RAYMOND F PEDERSEN O.D. PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND F PEDERSEN OD (OWNER)
(510) 791-5272
Entity
Organization
Contact information
Practice address
38069 MARTHA AVE, STE 200, FREMONT, CA 94536-3811
(510) 791-5272
(510) 791-0660
Mailing address
38069 MARTHA AVE, STE 200, FREMONT, CA 94536-3811
(510) 791-5272
(510) 791-0660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8564T
CA
Other
Enumeration date
02/28/2007
Last updated
04/19/2016
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