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Individual

JESSICA ANNE KRUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1546 STACY RD, SUITE100, ALLEN, TX 75002-8726
(214) 383-5400
Mailing address
1546 STACY RD, SUITE100, ALLEN, TX 75002-8726
(214) 383-5400

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6965TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50149380
DPS
TX
Enumeration date
04/24/2007
Last updated
03/07/2023
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