DR. Denise Marie Jacquin, O.D.

NPI #1124240569 in Wood River, Illinois

Provider Information

NPI Number: 1124240569
Entity Type: Individual
Name: DR. Denise Marie Jacquin, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 650 WESLEY DRIVE
Address 2: WOOD RIVER CENTRE
City: Wood River
State: Illinois
ZIP Code: 62095
Phone: (618) 258-1002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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