Individual
DEANNA LYNN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1400 S LIMIT AVE, SPACE 75 STATE FAIR SHOPPING CENTER, SEDALIA, MO 65301-5116
(660) 827-3140
(660) 827-5204
Mailing address
1400 S LIMIT AVE, SPACE 75 STATE FAIR SHOPPING CENTER, SEDALIA, MO 65301-5116
(660) 827-3140
(660) 827-5204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02745
MO
Other
Enumeration date
12/11/2006
Last updated
09/09/2010
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