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JANE E LINVILLE OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1124135736

Individual Registrant:
 JANE E LINVILLE OD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
112B MAIN ST S  PIERZ, MN 56364-4400 US
Tel: (32-0) -468-2020  Fax: 320-468-1111

Contact information for business:
112B MAIN ST S PO BOX 202 PIERZ, MN 56364-4400 US
Tel: (32-0) -468-2020  Fax: 320-468-1111

Registration Information:
NPI: 1124135736
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
MN2278

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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