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Individual
MR. PETER MARTINDALE
Active
Individual
MR. PETER MARTINDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14026TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14026TLG
STATE LICENSE
CA
Enumeration date
08/13/2010
Last updated
03/03/2011
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