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Individual

DR. JOEL ANTHONY WINTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
11450T
CA
152W00000X
Optometrist
OP2513
NM
152W00000X
Optometrist
Primary
OPT.0002970
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025968
KAISER COMMERCIAL NUMBER
CO
05
62022270
CO
Enumeration date
05/04/2007
Last updated
05/15/2021
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