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Individual

DR. JESSICA LOEHR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OPTOMETRIST

Contact information

Practice address
715 E 78TH ST, BLOOMINGTON, MN 55420-1397
(952) 854-2262
(952) 854-5493
Mailing address
PO BOX 300, VICTORIA, MN 55386
(952) 443-2387

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3128
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
398110100
MN
01
410002988
MEDICARE
Enumeration date
06/25/2008
Last updated
11/01/2013
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