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Individual

DR. KAREN ANN SQUIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3250
Mailing address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3250

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009520
IL
152WL0500X
Low Vision Rehabilitation Optometrist
046009520
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046009520
IL
Enumeration date
08/21/2006
Last updated
05/22/2015
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