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1144518507
KATHLEEN S. BISANAR
LA VISTA, NE
NPI
1144518507
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Former Name
KATHLEEN S. SCHAFFER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NE 1029)
Enumeration Date
2011-07-19
Last Update Date
2016-01-02
Business Address
-- KATHLEEN S. BISANAR O.D.
9739 GILES RD
LA VISTA, NE 68128-2930
Phone number: 402-963-0831
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Mailing Address
-- KATHLEEN S. BISANAR O.D.
9739 GILES RD
LA VISTA, NE 68128-2930
Phone number: 402-963-0831
Copy
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