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Organization

LORI KAY EGEBERG

Active
Other names
Sixth Street Optical
Organization subpart
No

Provider details

NPI number
Authorized official
LORI KAY EGEBERG (OWNER)
(605) 692-5600
Entity
Organization

Contact information

Practice address
511 6TH ST, BROOKINGS, SD 57006-1436
(605) 692-5600
Mailing address
511 6TH ST, BROOKINGS, SD 57006-1436
(605) 692-5600

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
10/02/2015
Last updated
10/02/2015
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