Individual
JESSICA MARIE MUNRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
772
ND
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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