Individual
DR. DENISE MARIE JACQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
650 WESLEY DRIVE, WOOD RIVER CENTRE, WOOD RIVER, IL 62095
(618) 258-1002
Mailing address
7 CROSS COUNTY CT., JERSEYVILLE, IL 62052
(618) 223-0577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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