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Individual

DR. DAVID MARK KASANOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7339 EL CAJON BLVD STE G, LA MESA, CA 91942-7435
(619) 465-7900
(619) 465-1642
Mailing address
7339 EL CAJON BLVD, G, LA MESA, CA 91942-7435
(619) 465-7900
(619) 839-3840

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA8755T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0087550
CA
Enumeration date
11/27/2006
Last updated
06/06/2010
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