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Individual

DR. COURTNEY LEE O'KEEFE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1039 E GRAND AVE, ROTHSCHILD, WI 54474-1022
(715) 359-0649
Mailing address
1039 E GRAND AVE, ROTHSCHILD, WI 54474-1022

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2812
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38-61-21-00
WI
Enumeration date
05/12/2006
Last updated
07/08/2007
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