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Organization

FIONA S BOAK, OD, PSC

Active
Other names
Fiona C Slone, OD PSC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FIONA S BOAK O.D. (OPTOMETRIST)
(502) 326-3114
Entity
Organization

Contact information

Practice address
3706 DIANN MARIE RD, LOUISVILLE, KY 40241-3818
(502) 326-3114
(502) 326-9751
Mailing address
3706 DIANN MARIE RD, LOUISVILLE, KY 40241-3818
(502) 326-3114
(502) 326-9751

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1423DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77001444
KY
Enumeration date
03/07/2008
Last updated
11/21/2013
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