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Individual

MRS. AUTUMN CURRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COT

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5696
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5696

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
156FX1100X
Ophthalmic Technician/Technologist
156FX1101X
Ophthalmic Assistant
Primary
156FX1201X
Optometric Assistant Technician
156FX1202X
Optometric Technician

Other

Enumeration date
09/04/2014
Last updated
09/04/2014
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