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Individual

MYRA N MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D

Contact information

Practice address
2020 PHILADELPHIA ST, AMES, IA 50010-8772
(515) 663-4800
(515) 232-3532
Mailing address
309 E CHURCH ST, MARSHALLTOWN, IA 50158-2946
(641) 754-6262
(641) 754-7420

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
02361
IA
152W00000X
Optometrist
Primary
OPT12839
IA

Other

Enumeration date
10/04/2005
Last updated
05/12/2015
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