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Organization

DR MICHAEL MCQUILLAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL MCQUILLAN O.D. (OWNER)
(805) 484-0577
Entity
Organization

Contact information

Practice address
1200 PASEO CAMARILLO, SUITE 180, CAMARILLO, CA 93010-6050
(805) 484-0577
(805) 987-6257
Mailing address
1200 PASEO CAMARILLO, SUITE 180, CAMARILLO, CA 93010-6085
(805) 484-0577
(805) 987-6257

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6508T
CA

Other

Enumeration date
07/20/2006
Last updated
01/15/2008
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