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Individual

DR. JAMES EDWARD BRUNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6180 STATE FARM DR, ROHNERT PARK, CA 94928-2135
(707) 584-7294
(707) 584-4728
Mailing address
6180 STATE FARM DR, ROHNERT PARK, CA 94928-2135
(707) 584-7294
(707) 584-4728

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5247T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0052470
CA
Enumeration date
10/17/2006
Last updated
07/02/2012
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