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Individual

DEBORAH CARRASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
520 N PROSPECT AVE STE 206, REDONDO BEACH, CA 90277-3042
(310) 376-8850
(310) 798-9228
Mailing address
520 N PROSPECT AVE STE 206, REDONDO BEACH, CA 90277-3042

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10977T
CA

Other

Enumeration date
08/25/2022
Last updated
09/29/2022
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