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Individual
GEORGE WILLIAM DOOLIN JR.
Active
Individual
GEORGE WILLIAM DOOLIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19465
BLUECROSSBLUESHIELD
FL
01
—
593537436
TRICARE
FL
01
—
A11078
EYEMED
—
Enumeration date
06/22/2005
Last updated
08/03/2017
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