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Organization

BEST BUY EYEWEAR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIO JOAQUIN FAJARDO D.O. (DISPENSING OPT (OWNER/OPTICIAN)
(661) 912-4058
Entity
Organization

Contact information

Practice address
2935 OSWELL ST STE B, BAKERSFIELD, CA 93306-2705
(661) 912-4058
Mailing address
PO BOX 12832, BAKERSFIELD, CA 93389-2832
(661) 912-4058

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
03/07/2018
Last updated
03/07/2018
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