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Individual

DR. TARA RANEY HAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1331 POYNTZ AVE, MANHATTAN, KS 66502-4362
(785) 537-2420
(785) 537-4980
Mailing address
1331 POYNTZ AVE, MANHATTAN, KS 66502-4362
(785) 537-2420
(785) 537-4980

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1745
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200420280A
KS
Enumeration date
07/28/2006
Last updated
05/20/2008
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