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Individual
THERESA TAI NGOR CHEW
Active
Individual
THERESA TAI NGOR CHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
09873T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043474133
—
CA
05
—
GSD004530
—
CA
05
—
SD0098730
—
CA
Enumeration date
10/31/2005
Last updated
07/19/2010
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