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Individual

TESHAWNA BARKER-SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
930 E 4TH ST, LONDON, KY 40741-2521
(606) 878-7500
(606) 878-8005
Mailing address
103 CHERA LYNN ST, LONDON, KY 40741-3142
(606) 878-7500
(606) 878-8005

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1541DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77000834
KY
Enumeration date
08/09/2005
Last updated
12/28/2017
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