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Individual

DR. JEFF KRALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1415 N SANBORN BLVD, MITCHELL, SD 57301-1015
(605) 996-2020
(605) 990-3937
Mailing address
1415 N SANBORN BLVD, MITCHELL, SD 57301-1015
(605) 996-2020
(605) 990-3937

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
458
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
458
STATE LICENSE
SD
05
9202572
SD
Enumeration date
02/28/2007
Last updated
07/08/2007
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