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Organization
JIMMY K SO OD INC
Active
Organization
JIMMY K SO OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY K SO O.D. (OWNER)
(909) 982-9366
Entity
Organization
Contact information
Practice address
1261 W FOOTHILL BLVD, SUITE 8, UPLAND, CA 91786-8018
(909) 982-9366
(909) 982-2477
Mailing address
1261 W FOOTHILL BLVD, SUITE 8, UPLAND, CA 91786-8018
(909) 982-9366
(909) 982-2477
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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