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1407870074
NICHOLAS T CHAN
SAN MATEO, CA
NPI
1407870074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 11614)
Enumeration Date
2006-07-27
Last Update Date
2012-04-02
Business Address
NICHOLAS T CHAN OD
228 E 3RD AVE
SAN MATEO, CA 94401-4015
Phone number: 415-713-0674
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Mailing Address
NICHOLAS T CHAN OD
228 E 3RD AVE
SAN MATEO, CA 94401-4015
Phone number: 415-713-0674
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