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Individual

JEFFREY ALLEN LEEPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
213 N ELM ST, CRESCO, IA 52136-1521
(563) 547-5363
(563) 547-2621
Mailing address
213 N ELM ST, CRESCO, IA 52136-1521
(563) 547-5363
(563) 547-2621

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01837
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2233122
IA
Enumeration date
07/08/2005
Last updated
02/18/2009
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