Individual
GWENDOLYN J KING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
520 S PARROTT AVE, OKEECHOBEE, FL 34974-4345
(863) 763-4334
(863) 763-3226
Mailing address
520 S PARROTT AVE, OKEECHOBEE, FL 34974-4345
(863) 763-4334
(863) 763-3226
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO2342
FL
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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