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Individual

KATHLEEN S. BISANAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
9739 GILES RD, LA VISTA, NE 68128-2930
(402) 963-0831
Mailing address
9739 GILES RD, LA VISTA, NE 68128-2930
(402) 963-0831

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1029
NE

Other

Enumeration date
07/19/2011
Last updated
01/02/2016
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