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Individual

ELIZABETH ANNE SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1131 W 6TH ST, SUITE 150, ONTARIO, CA 91762-1121
(909) 986-0918
(909) 984-4918
Mailing address
1131 W 6TH ST, SUITE 150, ONTARIO, CA 91762-1121
(909) 986-0918
(909) 984-4918

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6806
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0068060
CA
Enumeration date
07/31/2006
Last updated
08/05/2009
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