Individual
CAROLYN DIANE CLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
PO BOX PH, HIGHWAY 191 AND HOSPITAL DRIVE, CHINLE, AZ 86503-8000
(928) 674-7665
Mailing address
1717 W COWLES STREET, FAIRBANKS, AK 99701-8000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002142
VA
Other
Enumeration date
07/30/2012
Last updated
06/29/2017
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