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Individual

BARBARA THERESA WASHBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
4330 CZECH LN NE, CEDAR RAPIDS, IA 52402-2334
(319) 378-6335
(319) 378-9626
Mailing address
4330 CZECH LN NE, CEDAR RAPIDS, IA 52402-2334
(319) 378-6335
(319) 378-9626

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01927
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0025155
IA
Enumeration date
09/04/2006
Last updated
07/08/2007
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