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Individual
DR. KIMBERLY ANNE DEUGWILLO
Active
Individual
DR. KIMBERLY ANNE DEUGWILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTOMETRIST
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
0618001696
VA
152WL0500X
Low Vision Rehabilitation Optometrist
OEG001814
PA
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
TA2051
MD
Other
Enumeration date
08/08/2006
Last updated
03/21/2008
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