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1245711746
KRYSTAL W ROGGE
CAMERON, MO
NPI
1245711746
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Former Name
KRYSTAL W LEWALLEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2018024194)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
KRYSTAL W ROGGE
201 E 3RD ST
CAMERON, MO 64429-1706
Phone number: 816-632-7979
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Mailing Address
KRYSTAL W ROGGE
2441 NW PRAIRIE VIEW RD
PLATTE CITY, MO 64079-7627
Phone number: 816-858-2522
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