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1730248881
JOHN LOGAN VANKESTEREN
ALBUQUERQUE, NM
NPI
1730248881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NM 552)
Additional Taxonomies
152W00000X Optometrist
(Licence: CO 2306)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- JOHN LOGAN VANKESTEREN O.D.
400 EUBANK BLVD NE SUITE A
ALBUQUERQUE, NM 87123-2758
Phone number: 505-293-0417
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Mailing Address
-- JOHN LOGAN VANKESTEREN O.D.
3707 CAMINO DON DIEGO NE
ALBUQUERQUE, NM 87111-3905
Phone number: 505-275-1537
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