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Individual

DR. GARY LYNN BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
931 ANZA AVE STE B, VISTA, CA 92084-4531
(760) 758-3944
(760) 758-2063
Mailing address
931 ANZA AVE STE B, VISTA, CA 92084-4531
(760) 758-3944
(760) 758-2063

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5234
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0052340
CA
Enumeration date
12/14/2006
Last updated
07/08/2007
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