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1689954695
VIVIAN PHAN SHIBAYAMA
LOS ANGELES, CA
NPI
1689954695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: CA 14290)
Enumeration Date
2011-08-22
Last Update Date
2015-08-31
Business Address
-- VIVIAN PHAN SHIBAYAMA O.D.
100 STEIN PLZ
LOS ANGELES, CA 90095-7065
Phone number: 310-825-5000
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Mailing Address
-- VIVIAN PHAN SHIBAYAMA O.D.
6290 PRIMROSE AVE
TEMPLE CITY, CA 91780-1614
Phone number: 626-274-4211
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