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Organization
KOZUR IRENE VAZAGOV O.D
Active
Organization
KOZUR IRENE VAZAGOV O.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE VAZAGOV O.D (DOCTOR / OWNER)
(323) 655-6582
Entity
Organization
Contact information
Practice address
8213 BEVERLY BLVD, LOS ANGELES, CA 90048-4505
(323) 655-6582
Mailing address
8213 BEVERLY BLVD, LOS ANGELES, CA 90048-4505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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