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Individual

DR. MARION ANDREW DEAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD530
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3010167
BCBS
TN
05
3942749
TN
01
410024590
PALMETTO RR MEDICARE
01
9429243
CIGNA
01
OT41773
UNITED HEALTHCARE
Enumeration date
07/27/2006
Last updated
10/15/2010
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