Individual
MRS. TONI LYNN WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2610 BRIDGE AVE, ALBERT LEA, MN 56007-2075
(507) 373-2269
Mailing address
2610 BRIDGE AVE, ALBERT LEA, MN 56007-2075
(503) 701-8323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3207
MN
Other
Enumeration date
06/02/2010
Last updated
10/29/2012
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