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Individual

ELLA HAROOTOONIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 E MAGNOLIA BLVD STE 261, BURBANK, CA 91502-1162
(818) 841-2393
Mailing address
1844 N BEL AIRE DR, BURBANK, CA 91504-1907

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10851T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0108510
CA
Enumeration date
10/10/2006
Last updated
07/08/2007
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