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Organization
MICHELLE KING OD INC A PROFESSIONAL CORPORATION
Active
Organization
MICHELLE KING OD INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY MICHELLE KING OD (PRESIDENT)
(858) 842-3006
Entity
Organization
Contact information
Practice address
14757 POMERADO RD, POWAY, CA 92064-2802
(858) 842-3006
(858) 842-3005
Mailing address
14757 POMERADO RD, POWAY, CA 92064-2802
(858) 842-3006
(858) 842-3005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13711
CA
Other
Enumeration date
08/02/2010
Last updated
02/20/2015
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