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Organization
RANDY R BURT, OD INC.
Active
Organization
RANDY R BURT, OD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY R BURT O.D. (OPTOMETRIST)
(626) 914-4815
Entity
Organization
Contact information
Practice address
852 S GRAND AVE, GLENDORA, CA 91740-4806
(626) 914-4815
(626) 914-0502
Mailing address
852 S GRAND AVE, GLENDORA, CA 91740-4806
(626) 914-4815
(626) 914-0502
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7919T
CA
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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