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Individual

DR. CAREY MCNEILL SHIFRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1564
AZ
152W00000X
Optometrist
I3-0001286
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1564
STATE BOARD OF OPTOMETRY-AZ
AZ
Enumeration date
06/09/2006
Last updated
09/14/2015
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