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1023231917
DAMON MATTHEW ELLIS
OAKLAND, CA
NPI
1023231917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 11878T)
Enumeration Date
2007-04-10
Last Update Date
2024-06-06
Business Address
Dr. DAMON MATTHEW ELLIS O.D.
3205 GRAND AVE
OAKLAND, CA 94610-2740
Phone number: 510-444-0666
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Mailing Address
Dr. DAMON MATTHEW ELLIS O.D.
3527 HARRISON ST. UNIT 1
OAKLAND, CA 94611
Phone number: 510-847-1593
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