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ANGELA M ABE OPT

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1336108885

Individual Registrant:
 ANGELA M ABE OPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4601 DALE ROAD  MODESTO, CA 95356 US
Tel: 209-735-3150  Fax: --

Contact information for business:
4601 DALE ROAD  MODESTO, CA 95356 US
Tel: 209-735-3150  Fax: --

Registration Information:
NPI: 1336108885
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CAOPT10617

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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