Individual
DR. VALAN S MAGNABOSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5620 CRAWFORDSVILLE RD STE A, SPEEDWAY, IN 46224-3726
(317) 243-5423
(317) 243-5424
Mailing address
1906 BROUGHTON ST, CARMEL, IN 46032-7262
(317) 848-2566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001889A
IN
Other
Enumeration date
10/17/2006
Last updated
11/08/2011
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