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Individual

DR. GARY TERUO MUKAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
7215 N 1ST ST, SUITE 101, FRESNO, CA 93720-2985
(559) 226-3937
(559) 226-8305
Mailing address
7215 N 1ST ST, SUITE 101, FRESNO, CA 93720-2985
(559) 226-3937
(559) 226-8305

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5743TPA
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
194427
SAFEGUARD INS
CA
01
3356
MEDICAL EYE SERVICES INS
CA
05
SD0057430
CA
Enumeration date
05/17/2006
Last updated
03/03/2010
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