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Individual

SANDRA LOVE SWARINGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
48 BOONE TRL, NORTH WILKESBORO, NC 28659-3515
(336) 667-3288
(336) 838-1092
Mailing address
48 BOONE TRL, NORTH WILKESBORO, NC 28659-3515
(336) 667-3288
(336) 838-1092

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1062
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09882
BLUE CROSS BLUE SHIELD
NC
05
8909882
NC
01
Y1388
SERVICES FOR THE BLIND
NC
Enumeration date
09/15/2006
Last updated
07/08/2007
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