Individual
MISS SARA ANNE CAMBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2735 28TH ST SE, GRAND RAPIDS, MI 49512-1610
(616) 974-2020
Mailing address
3536 S FRANCIS RD, SAINT JOHNS, MI 48879-9570
(989) 506-2207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004407
MI
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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