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Individual

DANIEL MAURICE COTTRELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2610 BRIDGE AVE, ALBERT LEA, MN 56007-2075
(507) 373-2269
(507) 373-0977
Mailing address
2404 VIKING DR NW, ROCHESTER, MN 55901-3535
(507) 281-2394

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2396
MN

Other

Enumeration date
05/16/2006
Last updated
07/08/2007
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