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Dr. Tara Leanne Dew, O.D.

Optometrist in Kosciusko, MS. Individual provider (NPI-1).

NPI number1265622971
StatusActive
Last updated in NPPESJan 22, 2008

Details

NPI
1265622971
Entity type
Individual (NPI-1)
Name
Dr. Tara Leanne Dew
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 29, 2007
Last updated
Jan 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist776MSYes

Practice location

59 Veterans Memorial Dr
Ste. B
Kosciusko, MS 39090-3433

Phone 662-289-1067

Mailing address

Po Box 778
Kosciusko, MS 39090-0778

Phone 662-289-1067

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Other Optometrist providers in Kosciusko, MS

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