Individual
REBECCA ANN DEFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
338 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 292-5859
Mailing address
338 W 10TH AVE, COLUMBUS, OH 43210-1280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6540T3459
OH
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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