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Individual

DR. CANDACE GREENOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
10000 BAY PINES BLVD, BUILDING 106, BAY PINES, FL 33744
(727) 398-6661
Mailing address
420 N JAMES RD, EYE CLINIC, COLUMBUS, OH 43219-1834

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6282
OH
390200000X
Student in an Organized Health Care Education/Training Program
6282
OH

Other

Enumeration date
07/02/2014
Last updated
05/23/2022
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