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Individual

KENT HERMAN JUFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3121 4TH ST SW, MASON CITY, IA 50401-1581
(641) 423-8861
(641) 423-0727
Mailing address
PO BOX 1877, MASON CITY, IA 50402-1877
(641) 423-8861
(641) 423-0727

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01686
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0138271
IA
Enumeration date
08/28/2006
Last updated
07/08/2007
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