JOHN LOGAN VANKESTEREN

ALBUQUERQUE, NM
NPI1730248881
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: NM  552)
Additional Taxonomies152W00000X Optometrist
(Licence: CO  2306)
Enumeration Date2006-12-06
Last Update Date2007-07-08
Business Address
-- JOHN LOGAN VANKESTEREN O.D.
400 EUBANK BLVD NE SUITE A
ALBUQUERQUE, NM 87123-2758
Phone number: 505-293-0417
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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