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Individual

DR. ASHLEY MARIE OUTAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
8231 BRIER CREEK PKWY, RALEIGH, NC 27617-7705
(919) 863-5032
(919) 863-5038
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2669
NC
152W00000X
Optometrist
OPC5672
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OPC5762
FL
Enumeration date
06/04/2019
Last updated
11/04/2021
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