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Individual
SANDRA D JOLY
Active
Individual
SANDRA D JOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0PC0002714
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122070
EYEMED
FL
Enumeration date
10/02/2006
Last updated
12/09/2014
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