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Individual

DR. CALEB PAUL MERGENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(269) 547-9582
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(269) 547-9582

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3778
TN
152W00000X
Optometrist
4901005619
MI

Other

Enumeration date
06/06/2022
Last updated
06/13/2023
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