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Individual

DR. COLLEEN PERSONETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1867 AIRPORT WAY, STE 150A, FAIRBANKS, AK 99701-4061
(907) 452-2131
Mailing address
1214 RIDGEPOINTE DR, FAIRBANKS, AK 99709-5737
(907) 388-7507

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
A192
AK
152W00000X
Optometrist
OE008289T
PA

Other

Enumeration date
12/06/2006
Last updated
03/03/2017
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