Individual
NICOLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2950 CURVE CREST BLVD W, STILLWATER, MN 55082-5085
(651) 275-3028
Mailing address
1719 TOWER DR W STE 100, STILLWATER, MN 55082-7512
(651) 275-3050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3620
MN
Other
Enumeration date
06/13/2019
Last updated
12/30/2021
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