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Individual

DR. LEEANN BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02640
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116971
BCBC PROVIDER #
05
312457203
MO
01
4226
HEALTHCARE USA
MO
Enumeration date
01/23/2007
Last updated
09/30/2016
Update your record

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