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Individual

DR. XAVIER P ORDONEZ

Active
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Individual

DR. XAVIER P ORDONEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11089T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750488193
CA
05
SD0110890
CA
Enumeration date
09/20/2006
Last updated
05/11/2021
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