Individual
MRS. DELORES JEAN TYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
2600 W BROADWAY, COUNCIL BLUFFS, IA 51501-3512
(712) 322-3097
(712) 322-4130
Mailing address
60434 LEVI RD, GLENWOOD, IA 51534-5142
(712) 527-9731
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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