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Individual

DR. SHELLEY JOLENE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
123 W SALEM AVE, INDIANOLA, IA 50125-2518
(515) 961-2809
Mailing address
910 W DETROIT AVE, INDIANOLA, IA 50125-1212

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002450
IA

Other

Enumeration date
12/02/2009
Last updated
03/05/2014
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