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Individual

KARI JANE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
216 S MAIN ST, CROOKSTON, MN 56716-1939
(218) 281-2020
(218) 281-5997
Mailing address
216 S MAIN ST, CROOKSTON, MN 56716-1939
(218) 281-2020
(218) 281-5997

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2368
MN
152W00000X
Optometrist
512
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031525700
MN
Enumeration date
07/27/2006
Last updated
03/04/2008
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