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Individual
DR. MISSBA BAWANEY
Active
Individual
DR. MISSBA BAWANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046009886
IL
152W00000X
Optometrist
46009886
IL
152W00000X
Optometrist
Primary
OPC4197
FL
Other
Enumeration date
11/14/2006
Last updated
11/28/2018
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