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Individual

MS. JULIE S DIDAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2127 EDSEL LN NW, CORYDON, IN 47112-2030
(812) 738-1707
(812) 738-9054
Mailing address
2000 EDSEL LN NW, CORYDON, IN 47112-2168
(812) 738-1707
(812) 738-9054

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002547A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100116680B
IN
Enumeration date
10/18/2006
Last updated
07/21/2022
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