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Individual

MRS. SYLVIA DALE BICKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1502 STRICKLAND DR STE 2, ORANGE, TX 77630
(409) 883-5956
(409) 882-5473
Mailing address
1502 STRICKLAND DR STE 2, ORANGE, TX 77630-2978
(409) 883-5956
(409) 883-5473

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0199291-01
TX
Enumeration date
03/26/2012
Last updated
03/26/2012
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