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Individual
VAN TUYET LY
Active
Individual
VAN TUYET LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10370T
CA
152WC0802X
Corneal and Contact Management Optometrist
10370T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
10370T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0103700
—
CA
Enumeration date
02/14/2007
Last updated
10/16/2015
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