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Individual

BONNIE JANSUM CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2700 E FOOTHILL BLVD, PASADENA, CA 91107-7100
(626) 578-9685
Mailing address
953 CLEAR CREEK CANYON DR, DIAMOND BAR, CA 91765-2308
(909) 610-5442

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34632
CA

Other

Enumeration date
01/07/2020
Last updated
08/13/2020
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