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Individual

DAWN M VIRAMONTES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
805 W F ST, OAKDALE, CA 95361-3628
(209) 847-0936
(209) 847-9685
Mailing address
805 W F ST, OAKDALE, CA 95361-3628
(209) 847-0936
(209) 847-9685

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10745T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500107450
CA
Enumeration date
06/08/2005
Last updated
10/21/2014
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