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Individual

DR. AMANDA ANN WINTERBOER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
110 W 4TH ST, SPENCER, IA 51301-3858
(712) 262-3331
(712) 262-6885
Mailing address
PO BOX 243, SPENCER, IA 51301-0243
(712) 262-3331
(712) 262-6885

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002495
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154634780
IA
Enumeration date
07/25/2010
Last updated
05/17/2011
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