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Organization
KATHLEEN MAI OD
Active
Organization
KATHLEEN MAI OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MAI OD (OPTOMETRIST)
(510) 388-7379
Entity
Organization
Contact information
Practice address
2111 FULKERTH RD, TURLOCK, CA 95380-9515
(209) 634-8634
Mailing address
14603 MERCED ST, SAN LEANDRO, CA 94579-1058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14443
CA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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