Individual
PAUL LEE DUBBELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
710 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-3933
(218) 326-1775
(218) 326-3745
Mailing address
710 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-3933
(218) 326-1775
(218) 326-3745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2349
MN
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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