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Individual

DR. GAYLYNN M DETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2800 N MAIN ST, SANTA ANA, CA 92705-6607
(714) 543-3333
Mailing address
17752 SERRANO AVE, VILLA PARK, CA 92861-1212

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10479T
CA

Other

Enumeration date
05/03/2016
Last updated
05/03/2016
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