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Organization
RL EVANS, MA CARTER PROFESSIONAL CORPORATION
Active
Organization
RL EVANS, MA CARTER PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN A. CARTER OD (OWNER / OPTOMETRIST)
(619) 444-9012
Entity
Organization
Contact information
Practice address
510 S MAGNOLIA AVE, EL CAJON, CA 92020-6011
(619) 444-9012
(619) 444-0232
Mailing address
510 S MAGNOLIA AVE, EL CAJON, CA 92020-6011
(619) 444-3012
(619) 444-0232
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4790T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP4790
—
CA
Enumeration date
04/17/2008
Last updated
07/30/2008
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