SALLY BETH JACKULA

SAINT CLOUD, MN
NPI1902804149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MN  2895)
Enumeration Date2005-07-12
Last Update Date2021-03-16
Business Address
Dr. SALLY BETH JACKULA OD
3112 SOUTHWAY DR
SAINT CLOUD, MN 56301-9589
Phone number: 320-257-4747
Mailing Address
Dr. SALLY BETH JACKULA OD
3112 SOUTHWAY DR
SAINT CLOUD, MN 56301-9589
Phone number: 320-257-4747
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