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Individual

DR. NANA YAW OWUSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
701 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-5331
(386) 253-5999
(386) 253-1193
Mailing address
701 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-5331
(386) 253-5999
(386) 253-1193

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC004403
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC004403
FL

Other

Enumeration date
10/13/2008
Last updated
10/13/2008
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