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Organization

SHOES & THINGS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEANNA L JACKSON CPED (CERTIFIED PEDORTHIST)
(559) 736-3193
Entity
Organization

Contact information

Practice address
323 N D ST, PORTERVILLE, CA 93257-3629
(559) 782-3472
Mailing address
323 N D ST, PORTERVILLE, CA 93257-3629
(559) 782-3472

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
01/07/2013
Last updated
01/07/2013
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