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Individual
LINDA TANNOUS
Active
Individual
LINDA TANNOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35020
CA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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