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Individual

DANIEL LUTHER MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
180 OTAY LAKES RD, SUITE 201, BONITA, CA 91902-2443
(619) 267-9900
(619) 267-9910
Mailing address
180 OTAY LAKES RD, SUITE 201, BONITA, CA 91902-2443
(619) 267-9900
(619) 267-9910

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7989TLG
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0079890
CA
Enumeration date
08/04/2006
Last updated
01/14/2013
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