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Individual
DR. MARIA JOY MANDESE
Active
Individual
DR. MARIA JOY MANDESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OFC32
FL
152W00000X
Optometrist
Primary
OPC 4406
FL
152W00000X
Optometrist
TUV007099
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621285900
—
FL
Enumeration date
11/27/2006
Last updated
09/26/2011
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