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Individual

DR. JAMES PATRICK FURCOLOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
17829 SANTIAGO BLVD, VILLA PARK, CA 92861
(714) 998-6610
(714) 998-3275
Mailing address
17829 SANTIAGO BLVD, VILLA PARK, CA 92861-4133
(714) 998-6610
(714) 998-3275

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5392
CA

Other

Enumeration date
08/23/2006
Last updated
07/09/2007
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