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Individual

KELLY MOLOCK-HEROLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00615800
NJ
152W00000X
Optometrist
Primary
OEG002162
PA

Other

Enumeration date
07/29/2008
Last updated
06/16/2010
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