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Individual
SANDRA L EASTER
Active
Individual
SANDRA L EASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5699
TX
152W00000X
Optometrist
KS1547
KS
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100343690B
—
KS
Enumeration date
10/02/2006
Last updated
11/30/2023
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