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Individual
LUC EMMANUEL KANICKY
Active
Individual
LUC EMMANUEL KANICKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPC 003906
FL
Other
Enumeration date
04/20/2006
Last updated
05/06/2010
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