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Individual

JESSICA KULICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
355 N PETERS AVE, FOND DU LAC, WI 54935-8258
(920) 922-7121
Mailing address
355 N PETERS AVE, FOND DU LAC, WI 54935-8258

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3422-35
WI

Other

Enumeration date
06/27/2016
Last updated
12/14/2022
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