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Individual

DR. ANGEL A CAMBLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
479 MILILANI ST, HILO, HI 96720-4326
(808) 935-1111
Mailing address
479 MILILANI ST, HILO, HI 96720-4326
(808) 935-1111

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 257
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05649501
HI
01
OD-257
VISION SERVICE PLAN
HI
Enumeration date
11/01/2006
Last updated
07/09/2007
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