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DR. CHRISTIE JO RUSSELL-VILLNOW O.D.

Vision Therapy >> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1538279575

Individual Registrant:
DR. CHRISTIE JO RUSSELL-VILLNOW O.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
15 E MINNESOTA ST SUITE 107 SAINT JOSEPH, MN 56374-4689 US
Tel: 320-433-4326  Fax: --

Contact information for business:
15 E MINNESOTA ST STE 107  SAINT JOSEPH, MN 56374-4691 US
Tel: 320-433-4326  Fax: --

Registration Information:
NPI: 1538279575
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N152WV0400XEye and Vision Services Providers
Optometrist
Vision Therapy
MN2981
Y152W00000XEye and Vision Services Providers
Optometrist
MN2981

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MN - Page 1



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