Individual
MRS. CAROLYN ANN BURCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.O.
Contact information
Practice address
2164 TREMAINSVILLE RD., TOLEDO, OH 43613
(419) 474-6699
Mailing address
2164 TREMAINSVILLE RD., TOLEDO, OH 43613
(419) 474-6699
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5253
OH
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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