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Individual

KRISTIE K. YEAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
825 W. MORELAND BOULEVARD, WAUKESHA, WI 53188
(414) 542-9610
(414) 542-1783
Mailing address
11103 WEST AVENUE, STE 6, SAN ANTONIO, TX 78213
(210) 524-6803
(210) 524-6587

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2530-035
WI

Other

Enumeration date
10/17/2006
Last updated
07/09/2007
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