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Individual

MARK FLINT THAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCO

Contact information

Practice address
6741 N WILLOW AVE STE 101, FRESNO, CA 93710-5955
(559) 252-1770
Mailing address
6741 N WILLOW AVE STE 101, FRESNO, CA 93710-5955
(559) 252-1770

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
24-207
CA

Other

Enumeration date
11/11/2025
Last updated
11/11/2025
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