Individual
JERIKA KIRWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
720 WEST HWY 46, WAGNER, SD 57380
(605) 384-3565
Mailing address
310 8TH AVE NW, ABERDEEN, SD 57401-2365
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
719
SD
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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