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Mrs. Christine L Wiedemann
Optician in Wellsville, Utah
NPI 1356462766

Christine L Wiedemann is a Optician based in Wellsville, UT and is specialized in Optician. Christine L Wiedemann practices in Wellsville, UT. The NPI Number for Christine L Wiedemann is 1356462766 and holds a License No. 007696 (Utah).

The current practice location address for Christine L Wiedemann is 12 Martin Street, Wellsville, UT and can be reached out via phone at 585-593-6041.

Location: 12 Martin Street, Wellsville, UT, 14895-1057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356462766
Provider Name
Christine L Wiedemann
Credential
Provider Entity Type
Individual
Gender
Female
Address
12 Martin Street, Wellsville, UT, 14895-1057
Phone Number
585-593-6041
Fax Number
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12 Martin Street
City
Wellsville
State
Utah
Zip
14895-1057
Phone Number
585-593-6041
Fax Number
person
Provider Business Mailing Address Details
Address
12 Martin Street
City
Wellsville
State
Utah
Zip
14895-1057
Phone Number
585-593-6041
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
007696 (New York)
Definition
Definition to come...
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