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Individual

MS. LAURA SAMANTHA BZDAFKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2740 NAVARRE AVE, OREGON, OH 43616
(419) 693-4444
Mailing address
2740 NAVARRE AVE, OREGON, OH 43616-3216
(419) 693-4444

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5851
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3126281
OH
Enumeration date
07/18/2009
Last updated
08/15/2018
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