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Individual

MAYA MURRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
10690 FAIRFAX BLVD, FAIRFAX, VA 22030-4321
(703) 273-6323
Mailing address
125 S HARRISON ST APT 3A, EAST ORANGE, NJ 07018-1605
(908) 448-7547

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
009538
NY
152W00000X
Optometrist
Primary
0618003152
VA
152W00000X
Optometrist
27OA00713200
NJ

Other

Enumeration date
07/12/2022
Last updated
07/12/2022
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