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Individual

DR. SARA ANN MABIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1189 GENEVA N AVE, OAKDALE, MN 55128-5746
(651) 702-2504
(651) 731-7905
Mailing address
1189 GENEVA AVE N, OAKDALE, MN 55128-5746
(651) 702-2504
(651) 731-7905

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2593
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22-01213
MEDICA
MN
01
39G02MA
BCBS MN
MN
01
637371016544
PREFERRED ONE
MN
01
637371026225
PREFERRED ONE
MN
05
718317800
MN
01
964223
COLE MANAGED VISION
01
HP23634
HEALTH PARTNERS
MN
Enumeration date
03/28/2008
Last updated
12/01/2017
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