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Individual

DAWN R NEGRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
320 S MADISON AVE, AURORA, MO 65605-1569
(417) 678-1177
(417) 678-5954
Mailing address
320 S MADISON AVE, AURORA, MO 65605-1569

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03480
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
314723206
MO
Enumeration date
01/05/2007
Last updated
11/11/2010
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