Individual
KIM EARLENE STRAWN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13055 W RANCHO SANTA FE BLVD, AVONDALE, AZ 85392-1700
(623) 535-4215
Mailing address
13055 W RANCHO SANTA FE BLVD, AVONDALE, AZ 85392-1700
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1014
AZ
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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