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1184934069
MITCHEL IBACH
SIOUX FALLS, SD
NPI
1184934069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: SD 709)
Enumeration Date
2010-10-13
Last Update Date
2016-04-06
Business Address
-- MITCHEL IBACH O.D.
3101 W 57TH ST
SIOUX FALLS, SD 57108-3162
Phone number: 605-361-3937
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Mailing Address
-- MITCHEL IBACH O.D.
3101 W 57TH ST
SIOUX FALLS, SD 57108-3162
Phone number: 605-361-3937
Copy
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