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Individual

DR. DEANNA SWAFFORD ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1341
CO
152WL0500X
Low Vision Rehabilitation Optometrist
1341
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0540330001
DMERC
CO
05
08013419
CO
Enumeration date
12/20/2006
Last updated
08/14/2017
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