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Organization

NICOLE L. MEERPOHL, OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLE L MEERPOHL OD (OWNER)
(785) 364-4183
Entity
Organization

Contact information

Practice address
111 W 4TH ST, HOLTON, KS 66436-1701
(785) 364-4183
(785) 364-2088
Mailing address
111 W 4TH ST, HOLTON, KS 66436-1701
(785) 364-4183
(785) 364-2088

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1556
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100363080C
KS
Enumeration date
05/18/2009
Last updated
05/18/2009
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