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Diane C Dewitt, O.D.

Optometrist in Clovis, NM. Individual provider (NPI-1).

NPI number1265412639
StatusActive
Last updated in NPPESJun 15, 2011

Details

NPI
1265412639
Entity type
Individual (NPI-1)
Name
Diane C Dewitt
Credential
O.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 20, 2006
Last updated
Jun 15, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2364NMYes

Practice location

1217 Pile St
Clovis, NM 88101-5944

Phone 575-763-5522 · Fax 575-763-4722

Mailing address

Po Box 700
Clovis, NM 88102-0700

Phone 575-763-5522 · Fax 575-763-4722

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Other Optometrist providers in Clovis, NM

All 9 Optometrist providers in Clovis · All 1,421 providers in Clovis

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