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Individual

DR. JANICE MARIE MC GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
817 COURT ST STE 10, JACKSON, CA 95642-2156
(209) 223-2020
Mailing address
817 COURT ST STE 10, JACKSON, CA 95642-2156
(209) 223-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12642T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0126421
CA
Enumeration date
05/06/2006
Last updated
08/28/2012
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