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Individual

DR. CHANDA PATRICIA LYNN WALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
8432 LOCKWOOD RIDGE RD, SARASOTA, FL 34243-2903
(941) 359-1105
(941) 359-1229
Mailing address
8432 LOCKWOOD RIDGE RD, SARASOTA, FL 34243-2903
(941) 359-1105
(941) 359-1229

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3534
FL

Other

Enumeration date
04/11/2007
Last updated
01/04/2018
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