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Individual

MRS. JENNIFER LYNN SOWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CERTIFIED OPTICIAN

Contact information

Practice address
105 1/2 W WALNUT ST, OGLESBY, IL 61348-1215
(815) 883-9822
(815) 883-9822
Mailing address
105 1/2 W WALNUT ST, OGLESBY, IL 61348-1215
(815) 883-9822
(815) 883-9822

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
168711
IL

Other

Enumeration date
11/15/2007
Last updated
08/22/2008
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