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Individual

SONIA K CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2337 W NORTHERN AVE, PHOENIX, AZ 85021-4918
(602) 995-8848
(602) 995-2980
Mailing address
2337 W NORTHERN AVE, PHOENIX, AZ 85021-4918
(602) 995-8848
(602) 995-2980

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1131
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z134531
PTAN
AZ
Enumeration date
12/19/2006
Last updated
07/06/2010
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