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Individual

KENT R SCHAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
221
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NM01P518
BCBS OF NEW MEXICO
NM
05
P5283
NM
Enumeration date
09/27/2006
Last updated
05/25/2011
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