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Karen Lynn Russ
Optician in Cocoa, Florida
NPI 1841040300

Karen Lynn Russ is a Optician based in Cocoa, FL and is specialized in Optician. Karen Lynn Russ practices in Cocoa, FL. The NPI Number for Karen Lynn Russ is 1841040300 and holds a License No. (Florida).

The current practice location address for Karen Lynn Russ is 2700 Clearlake Rd, Cocoa, FL and can be reached out via phone at 321-631-0373.

Location: 2700 Clearlake Rd, Cocoa, FL, 32922-5716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841040300
Provider Name
Karen Lynn Russ
Credential
Provider Entity Type
Individual
Gender
Female
Address
2700 Clearlake Rd, Cocoa, FL, 32922-5716
Phone Number
321-631-0373
Fax Number
Provider Enumeration Date
03/26/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2700 Clearlake Rd
City
Cocoa
State
Florida
Zip
32922-5716
Phone Number
321-631-0373
Fax Number
person
Provider Business Mailing Address Details
Address
2700 Clearlake Rd
City
Cocoa
State
Florida
Zip
32922-5716
Phone Number
321-631-0373
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
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