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1235181165
KEITH MICHAEL WAN
SAN DIEGO, CA
NPI
1235181165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 10924T)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
Dr. KEITH MICHAEL WAN O.D.
10549 SCRIPPS POWAY PKWY STE G
SAN DIEGO, CA 92131-3963
Phone number: 858-530-2800
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Mailing Address
Dr. KEITH MICHAEL WAN O.D.
10549 SCRIPPS POWAY PKWY STE G
SAN DIEGO, CA 92131-3963
Phone number: 858-530-2800
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