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1093123721
JONATHAN CHAN
CORONA, CA
NPI
1093123721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 14864TLG)
Enumeration Date
2014-07-25
Last Update Date
2018-10-03
Business Address
JONATHAN CHAN O.D.
2615 TUSCANY ST
CORONA, CA 92881-4631
Phone number: 951-268-3036
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Mailing Address
JONATHAN CHAN O.D.
18717 STEFANI AVE
CERRITOS, CA 90703-8438
Phone number: 562-537-8687
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