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Individual

DR. JULIEANN CAROL WICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1321 W DAKOTA PKWY, WILLISTON, ND 58801-3807
(701) 572-7641
(701) 572-7710
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
728
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60757
ND
Enumeration date
07/17/2006
Last updated
02/25/2015
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