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1124179908
JULIE ANN WAGSTAFF
SAN JOSE, CA
NPI
1124179908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 11444)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- JULIE ANN WAGSTAFF O.D.
2200 EASTRIDGE LOOP EASTRIDGE MALL STE 1078
SAN JOSE, CA 95122-1410
Phone number: 408-270-6161
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Mailing Address
-- JULIE ANN WAGSTAFF O.D.
961 SPENCER AVE
SAN JOSE, CA 95125-1672
Phone number: 408-947-1193
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