STEPHEN R. KELLER, O.D., INC.
Optometry at Baseline Rd, Rancho Cucamonga, CA

License number
California OPT10085T
Category
Optometry
Type
Optometrist
Owner
Name: DR. STEPHEN ROBERT KELLER O.D.
Title: PRESIDENT
Phone: (909) 989-1791
Address
Address
9596 Baseline Rd, Rancho Cucamonga, CA 91701
National Provider ID: 1619019197
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STEPHEN R. KELLER, O.D., INC

9596 Base Line Rd, Rancho Cucamonga, CA 91701

Registration:
Sep 1, 1981
State ID:
C1053517
Business type:
Articles of Incorporation
President:
Stephen R. Keller (President)
Agent:
Jay W Hendersen,San Diego, CA 92128 (Physical)

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