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Individual

MISS KATHY BADRIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
995 S COTTON LN, GOODYEAR, AZ 85338-4604
(623) 932-9359
Mailing address
14456 W CARLIN DR, SURPRISE, AZ 85374-4227
(520) 440-2834

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1964
AZ

Other

Enumeration date
05/17/2014
Last updated
05/17/2014
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