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Individual

DR. JAMES S. LINVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
579 4TH AVE, GUSTINE, CA 95322-1143
(209) 854-3771
(209) 854-3772
Mailing address
579 4TH AVE, GUSTINE, CA 95322-1143
(209) 854-3771
(209) 854-3772

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 8781 TPA
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
77-022932
SUPPLEMENTAL INSURERS
CA
01
SD0087810
MEDICAL
CA
Enumeration date
08/23/2005
Last updated
08/29/2008
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