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Individual

DR. ROBERT EUGENE BLAIR JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1700 N STATE ROUTE 291, HARRISONVILLE, MO 64701-1218
(816) 884-5845
Mailing address
287 SE SUMPTER CT, LEES SUMMIT, MO 64063-3669
(816) 213-9948

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1711
KS
152W00000X
Optometrist
Primary
2005019123
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
R07E47A
KS
Enumeration date
08/09/2006
Last updated
07/08/2007
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