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Individual

THEODORA BETSY COZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
442 WEST LINCOLN HIGHWAY, EXTON, PA 19341
(610) 363-8060
(610) 594-8448
Mailing address
445 SAYBROOK LANE, WALLINGFORD, PA 19086
(610) 876-9416

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0E007863P
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0167173415
PA
Enumeration date
05/03/2007
Last updated
07/08/2007
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