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Individual

COLLEEN S HEBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
740 REENA AVE, SUITE B, FORT ATKINSON, WI 53538-3145
(920) 563-8468
(920) 563-7018
Mailing address
740 REENA AVE, SUITE B, FORT ATKINSON, WI 53538-3145
(920) 563-8468
(920) 563-7018

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2429-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114948221
WI
Enumeration date
07/22/2006
Last updated
02/08/2021
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