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Individual

MARANDA AMORNYARD WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1595 GEORGESVILLE SQUARE DR, COLUMBUS, OH 43228-3689
(614) 385-0088
(614) 853-2442
Mailing address
511 W 1ST AVE APT 201, COLUMBUS, OH 43215-1261

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6438
OH

Other

Enumeration date
08/04/2016
Last updated
10/01/2018
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