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Individual

DR. EMILY EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
3226
TN
152W00000X
Optometrist
Primary
OD3226
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q015606
TN
Enumeration date
06/10/2015
Last updated
11/09/2016
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