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Individual

MISS JEAN SUZANNE PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
719 GREEN VALLEY RD, SUITE 105, GREENSBORO, NC 27408-7014
(336) 230-1010
(336) 230-1019
Mailing address
719 GREEN VALLEY RD, SUITE 105, GREENSBORO, NC 27408-7014
(336) 230-1010
(336) 230-1019

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2096
NC

Other

Enumeration date
07/14/2008
Last updated
07/14/2008
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