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Individual

ERICA JILL BOBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3029 OLIVER STANLEY TRL, LANCASTER, SC 29720-0286
(240) 286-4512
Mailing address
2010 BREMO RD STE 128A, RICHMOND, VA 23226-2444
(877) 969-0392

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002993
VA
152W00000X
Optometrist
3056
OK

Other

Enumeration date
05/02/2020
Last updated
05/24/2021
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