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Individual

MRS. CHARLOTTE MILLAN COHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OPTICIAN

Contact information

Practice address
801 BOUSH ST, SUITE A-1, NORFOLK, VA 23510-1510
(757) 622-7804
(757) 625-0697
Mailing address
801 BOUSH ST, SUITE A-1, NORFOLK, VA 23510-1510
(757) 622-7804
(757) 625-0697

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101003010
VA

Other

Enumeration date
01/27/2012
Last updated
01/27/2012
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