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Individual

MORISSA RICHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
16840 S 36TH PL, PHOENIX, AZ 85048-7989
(602) 570-4362
(480) 706-6282
Mailing address
16840 S 36TH PL, PHOENIX, AZ 85048-7989
(602) 570-4362
(480) 706-6282

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
765
AZ
152W00000X
Optometrist
OP581
DC
152W00000X
Optometrist
TA 0973
MD

Other

Enumeration date
10/17/2011
Last updated
10/17/2011
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