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Individual
DR. PAUL JONATHAN SUPER
Active
Individual
DR. PAUL JONATHAN SUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8867
CA
152WC0802X
Corneal and Contact Management Optometrist
OP8867TPG
CA
Other
Enumeration date
04/25/2007
Last updated
12/23/2020
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