Individual
MS. CARLA J MCGREGOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
916 9TH AVE SE, WATERTOWN, SD 57201-5224
(605) 886-2038
(605) 886-2038
Mailing address
916 9TH AVE SE, WATERTOWN, SD 57201-5224
(605) 886-2038
(605) 886-2038
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/06/2012
Last updated
04/10/2012
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