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Organization
EYEWEAR CARE
Active
Organization
EYEWEAR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN MARIE KOBERNUSZ (OPTICIAN)
(605) 421-1818
Entity
Organization
Contact information
Practice address
43318 SD HIGHWAY 38, SPENCER, SD 57374-5403
(605) 421-1818
Mailing address
43318 SD HIGHWAY 38, SPENCER, SD 57374-5403
(605) 421-1818
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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