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Individual
FREDDIE LOVELL
Active
Individual
FREDDIE LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOARD CERTIFIED
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
DO 3084
FL
Other
Enumeration date
05/09/2007
Last updated
11/21/2008
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