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Individual

DALE BAHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1445 N BELL ST, FREMONT, NE 68025-3534
(402) 727-9220
(402) 727-5625
Mailing address
PO BOX 72, FREMONT, NE 68026-0072
(402) 727-9220
(402) 727-5625

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
002182
MO
152W00000X
Optometrist
01551
IA
152W00000X
Optometrist
Primary
786
NE

Other

Enumeration date
07/28/2006
Last updated
11/07/2007
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