Individual
JOHNNA DUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
1306 18TH ST, SUITE E, SPIRIT LAKE, IA 51360-1163
(712) 336-4401
(712) 336-4403
Mailing address
1306 18TH ST, SUITE E, SPIRIT LAKE, IA 51360-1163
(712) 336-4401
(712) 336-4403
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
155315
IA
Other
Enumeration date
06/21/2010
Last updated
03/28/2013
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