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Individual

DR. TRIXIE IRENE EAKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
101 S. MAIN ST, DE FOREST, WI 53532
(608) 846-5625
(608) 846-8998
Mailing address
101 S. MAIN ST, DE FOREST, WI 53532
(608) 846-5625
(608) 846-8998

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2954-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38620800
WI
Enumeration date
10/27/2005
Last updated
02/18/2009
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