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Organization

DR. ANNIE LE OD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNIE DIEM HANG LE OD (OPTOMETRIST)
(619) 565-7102
Entity
Organization

Contact information

Practice address
31700 GRAPE ST, LAKE ELSINORE, CA 92532-9785
(951) 245-4597
Mailing address
12128 CHANDALAR CIR, JURUPA VALLEY, CA 91752-2775
(619) 565-7102

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
04/05/2019
Last updated
04/05/2019
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