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Individual

JULIE LYNN GUILLAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
7101 CEDAR SPRINGS BLVD, LOUISVILLE, KY 40291-2587
(502) 231-7753
(502) 231-7054
Mailing address
509 13TH STREET, TELL CITY, IN 47586-1824
(812) 547-5653

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002692
IN

Other

Enumeration date
12/28/2006
Last updated
07/08/2007
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