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Individual

CYNTHIA ROSALINE WITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
6014 AZLE AVENUE, SUITE 300, LAKE WORTH, TX 76135
(817) 741-6828
Mailing address
1501 WESTCREEK DR, AZLE, TX 76020-3777
(407) 952-0558

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8157-T
TX

Other

Enumeration date
06/27/2011
Last updated
03/22/2016
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