Individual
COURTNEY KAY DUBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
12805 TOWN AND FOUR DR, SAINT LOUIS, MO 63141-6222
(763) 438-6192
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2020018357
MO
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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