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Organization

9FIVERS LLC

Active
Other names
9FIVE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JONATHAN CRADDUCK (COO)
(619) 254-5523
Entity
Organization

Contact information

Practice address
2163 LOGAN AVE, SAN DIEGO, CA 92113-2203
(619) 482-9595
Mailing address
2163 LOGAN AVE, SAN DIEGO, CA 92113-2203
(619) 482-9595

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
10/02/2023
Last updated
10/02/2023
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