DR. Sally Beth Jackula, OD

NPI #1902804149 in Saint Cloud, Minnesota

Provider Information

NPI Number: 1902804149
Entity Type: Individual
Name: DR. Sally Beth Jackula, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 12, 2005
Last Updated: Mar 16, 2021

Practice Location

Address: 3112 SOUTHWAY DR
City: Saint Cloud
State: Minnesota
ZIP Code: 56301-9589
Phone: (320) 257-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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