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Individual

ELYSE LILLIAN BARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
100 BAILEY DR, FRANKLIN, VA 23851-2427
(757) 562-6101
(757) 562-4244
Mailing address
100 BAILEY DR, FRANKLIN, VA 23851-2427
(757) 562-6101
(757) 562-4244

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002916
VA

Other

Enumeration date
07/22/2020
Last updated
07/22/2020
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