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1215636279
DIANA SUE MEHANNY
MODESTO, CA
NPI
1215636279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 35389)
Enumeration Date
2023-02-28
Last Update Date
2023-08-09
Business Address
DIANA SUE MEHANNY
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5000
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Mailing Address
DIANA SUE MEHANNY
4225 PASSAGES LN
MODESTO, CA 95356-4314
Phone number: 925-428-8470
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