Individual
ERIC JAY YOULDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Mailing address
71827 PHILLIP DR, ALBERT LEA, MN 56007-4251
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2938
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602616800
—
MN
Enumeration date
01/16/2006
Last updated
09/29/2020
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