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Individual

DR. JULIE A HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
808 N KENTUCKY AVE, WEST PLAINS, MO 65775-2023
(417) 255-2010
(417) 255-2027
Mailing address
808 N KENTUCKY AVE, WEST PLAINS, MO 65775-2023
(417) 255-2010
(417) 255-2027

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003409B
IN
152W00000X
Optometrist
Primary
2006018277
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689845323
GROUP NPI
MO
05
319913307
MO
Enumeration date
04/25/2007
Last updated
09/06/2012
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