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Individual

DR. JACQUELINE SOLANGE KOWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1650 E CAMELBACK RD STE 160, PHOENIX, AZ 85016-3947
(602) 277-3348
(602) 264-2715
Mailing address
955 W SOUTHERN AVE STE 101, MESA, AZ 85210-4903
(480) 961-1865
(480) 893-8172

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0003684
CO
152W00000X
Optometrist
Primary
OPT-002627
AZ

Other

Enumeration date
07/14/2021
Last updated
01/05/2023
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