Individual
STEPHANNIE L KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
DOUBLE IMANGE, INC. DBA PEARLE VISION, 3001 WHITE BEAR AVE., NO., SUITE 1050, ST PAUL, MN 55109
(651) 770-3923
(952) 435-2624
Mailing address
DOUBLE IMANGE, INC. DBA PEARLE VISION, 3001 WHITE BEAR AVE., NO., SUITE 1050, ST PAUL, MN 55109
(651) 770-3923
(952) 435-2624
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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