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Individual

DR. JOHN JAMES CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
65 W WHIDBEY AVE APT A101, OAK HARBOR, WA 98277-2150
(312) 404-9649
Mailing address
65 W WHIDBEY AVE APT A101, OAK HARBOR, WA 98277-2150
(312) 404-9649

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60584916
WA

Other

Enumeration date
07/20/2015
Last updated
09/29/2015
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