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Individual

MISTY ZIPPRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2610 N PROSPECT AVE, CHAMPAIGN, IL 61822-1251
(217) 352-1812
(217) 403-1769
Mailing address
2610 N PROSPECT AVE, CHAMPAIGN, IL 61822-1251
(217) 352-1812
(217) 403-1769

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
05/31/2023
Last updated
05/31/2023
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