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Individual

DR. LINDA JO BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
575 GLEN ST., GLENS FALLS, NY 12801
(518) 792-0518
(518) 792-4739
Mailing address
575 GLEN ST., P.O. BOX 2071, GLENS FALLS, NY 12801
(518) 792-0518
(518) 792-4739

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00530200
NJ
152W00000X
Optometrist
27TO00064500
NJ
152W00000X
Optometrist
Primary
TUV0073681
NJ

Other

Enumeration date
11/15/2005
Last updated
07/22/2009
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