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Individual

CLARA C CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1945 CEI DRIVE, CINCINNATI EYE INSTITUTE, CINCINNATI, OH 45242-5664
(513) 569-3741
(513) 569-3941
Mailing address
1945 CEI DRIVE, CINCINNATI EYE INSTITUTE, CINCINNATI, OH 45242-5664
(513) 569-3741
(513) 569-3941

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
PENDING
OH
207W00000X
Ophthalmology Physician
Primary
TP093
KY

Other

Enumeration date
02/23/2010
Last updated
04/19/2010
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