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Individual

KAREN ROSE CHESTER

Active
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Individual

KAREN ROSE CHESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8698T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0647524
—
CA
01
—
1124035159
SITE NPI
—
01
—
3762136
PIN
—
01
—
FHC71087F
MEDI-CAL PROVIDER NUMBER
CA
01
—
ZZZ2979Z
MEDICARE PROVIDER NUMBER
CA
Enumeration date
09/06/2006
Last updated
08/06/2013
About Stedi
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