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Organization
QUINN Q NGUYEN OPTOMETRY INC
Active
Organization
QUINN Q NGUYEN OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINN Q NGUYEN OD (DIRECTOR)
(209) 476-7040
Entity
Organization
Contact information
Practice address
1111 W ROBINHOOD DR STE E, STOCKTON, CA 95207-5626
(209) 476-7040
(209) 476-7040
Mailing address
1111 W ROBINHOOD DR STE E, STOCKTON, CA 95207-5626
(209) 476-7040
(209) 476-7040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 11194 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588824320
—
CA
Enumeration date
06/16/2008
Last updated
08/09/2019
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