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Individual

KENNETH D JEFFERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
560 N CAMINO MERCADO, STE 1, CASA GRANDE, AZ 85222-5759
(520) 426-9224
(520) 426-1554
Mailing address
2610 E UNIVERSITY DR, MESA, AZ 85213-8436
(480) 892-8400
(480) 892-9533

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
940
AZ

Other

Enumeration date
02/07/2006
Last updated
07/31/2008
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