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Individual

MRS. FRANCES MAUREEN BARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LDO

Contact information

Practice address
2189 DAVIS RD, DUNLAP, TN 37327-4517
(423) 580-7822
(423) 949-2519
Mailing address
P.O. BOX 2005, 2189 DAVIS RD, DUNLAP, TN 37327
(423) 580-7822
(423) 949-2519

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1511
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1511
TENNESSEE DISPENSING OPTICIAN LICENSE
TN
Enumeration date
09/19/2013
Last updated
09/19/2013
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