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Individual

JANICE KASSAWAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
17900 NEWHOPE ST, FOUNTAIN VALLEY, CA 92708-5422
(714) 444-4225
(714) 444-4225
Mailing address
17900 NEWHOPE ST, FOUNTAIN VALLEY, CA 92708-5422
(714) 444-4225
(714) 444-4225

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9721 TG
CA

Other

Enumeration date
03/14/2014
Last updated
03/14/2014
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