Individual
JOHN MABRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4625 E RAY RD, PHOENIX, AZ 85044-6229
(602) 760-0890
Mailing address
348 TOPAZ CT, CHULA VISTA, CA 91911-5925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2110
AZ
Other
Enumeration date
06/17/2016
Last updated
06/21/2016
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