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1811275654
JONOVAN OTTENBACHER
LOS ANGELES, CA
NPI
1811275654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 14235)
Enumeration Date
2011-07-27
Last Update Date
2011-07-27
Business Address
Dr. JONOVAN OTTENBACHER OD
6333 W 3RD ST #708
LOS ANGELES, CA 90036-3109
Phone number: 323-936-5140
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Mailing Address
Dr. JONOVAN OTTENBACHER OD
6333 W 3RD ST #708
LOS ANGELES, CA 90036-3109
Phone number: 323-936-5140
Copy
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