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Individual

ALAN H UPCHURCH

Active
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Individual

ALAN H UPCHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
1144
OK
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
3701-TG
TX

Other

Enumeration date
09/13/2005
Last updated
06/29/2016
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