Individual
SARA SUE-KLOFT VANDEGRIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4415
(563) 584-4256
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4415
(563) 584-4256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.011426
IL
152W00000X
Optometrist
Primary
100031
IA
Other
Enumeration date
07/09/2020
Last updated
03/14/2022
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