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Organization
KRUPA TAILOR OD A PROFESSIONAL CORPORATION
Active
Organization
KRUPA TAILOR OD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRUPA TAILOR O.D. (OWNER)
(847) 219-0314
Entity
Organization
Contact information
Practice address
217 E LAKE AVE, WATSONVILLE, CA 95076-4716
(831) 724-3823
(831) 724-2605
Mailing address
217 E LAKE AVE, WATSONVILLE, CA 95076-4716
(831) 724-3823
(831) 724-2605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
01/14/2021
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