DWAYNE ROBERT ICE

RAPID CITY, SD
NPI1447362074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: SD  t-149)
Enumeration Date2006-08-31
Last Update Date2013-09-04
Business Address
Dr. DWAYNE ROBERT ICE O.D.
825 COLUMBUS ST STE E
RAPID CITY, SD 57701-4803
Phone number: 605-343-4703
Mailing Address
Dr. DWAYNE ROBERT ICE O.D.
825 COLUMBUS ST STE E
RAPID CITY, SD 57701-4803
Phone number: 605-343-4703
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