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Individual

DR. GLEN YUKIO OZAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4598 S TRACY BLVD, 130, TRACY, CA 95377-8106
(209) 835-1181
(209) 835-9396
Mailing address
65 THORNTON ST, 308, SAN LEANDRO, CA 94577-4836
(510) 614-1084

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 00011802T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BP271Z
CA
Enumeration date
06/03/2006
Last updated
04/30/2009
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