Mr. Dejuan Lamont Wynn, OPTICIAN
Mr. Dejuan Lamont Wynn, OPTICIAN is an Optician in New York, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
167 Lenox AveNew York, NY 10026-1320
Phone: (212) 222-6100
Fax: (212) 222-6606
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 164759 (NY) |
|---|
Record details
| NPI number | 1184805764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OPTICIAN |
| Sole proprietor | No |
| NPI enumerated | November 24, 2007 |
| Last updated in NPPES | November 24, 2007 |
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