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Organization

STACEY QT LE, OD PROFESSIONAL OPTOMETRY CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STACEY QT LE OD (PRES)
(714) 895-4899
Entity
Organization

Contact information

Practice address
7038 KATELLA AVE, STANTON, CA 90680-2805
(714) 895-4899
Mailing address
7038 KATELLA AVE, STANTON, CA 90680-2805
(714) 895-4899

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OP10232
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0102320
CA
Enumeration date
05/22/2008
Last updated
05/22/2008
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