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Individual

MRS. KAREN KAY ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPTICIAN

Contact information

Practice address
308 N TECUMSEH STE 2, WAUNETA, NE 69045-9501
(308) 394-5111
(308) 394-5111
Mailing address
PO BOX 63, WAUNETA, NE 69045-0063
(308) 394-5111
(308) 394-5111

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
171162
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87-1091622
NE
05
H12368166
NE
Enumeration date
07/24/2021
Last updated
09/04/2021
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