TERESA ANN WISE

ELIZABETHTOWN, KY
NPI1114076288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: KY  1156DT)
Enumeration Date2007-01-09
Last Update Date2008-05-13
Business Address
Dr. TERESA ANN WISE OD
2904 DOLPHIN DR
ELIZABETHTOWN, KY 42701-7102
Phone number: 270-769-3708
Mailing Address
Dr. TERESA ANN WISE OD
2904 DOLPHIN DR
ELIZABETHTOWN, KY 42701
Phone number: 270-769-3708
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