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Individual

TERESA PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2929 HIGHLAND AVE, CINCINNATI, OH 45219-2463
(513) 559-3599
Mailing address
505 N JUDD PKWY NE, STE 109, FUQUAY VARINA, NC 27526-2389
(919) 557-0308

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2558
NC

Other

Enumeration date
08/01/2018
Last updated
06/05/2019
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