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Individual

JEFFREY MICHAEL GLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2080 HARBISON DR STE E, VACAVILLE, CA 95687-3908
(707) 449-9931
Mailing address
2080 HARBISON DR STE E, VACAVILLE, CA 95687-3908

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1996
AZ
152W00000X
Optometrist
Primary
OPT33638TLG
CA

Other

Enumeration date
06/26/2014
Last updated
01/03/2022
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