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Organization
SAUSALITO OPTOMETRY, INC.
Active
Organization
SAUSALITO OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN LYNETTE MCCOY (OPTOMETRIST)
(415) 331-0121
Entity
Organization
Contact information
Practice address
325 PINE ST, SAUSALITO, CA 94965-2124
(415) 331-0121
Mailing address
325 PINE ST, SAUSALITO, CA 94965-2124
(415) 331-0121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12409T
CA
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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