DR. SALLY JACKULA, OD

Optometrist

Active Individual
NPI: 1902804149

Practice Address

3112 SOUTHWAY DR
Saint Cloud, MN 56301

Phone: (320) 257-4747

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 2895 (MN)

Frequently Asked Questions

NPI 1902804149 is the National Provider Identifier for DR. SALLY JACKULA, OD, a Optometrist provider located in Saint Cloud, MN. This NPI was enumerated on July 12, 2005.
DR. SALLY JACKULA, OD practices at 3112 SOUTHWAY DR, Saint Cloud, MN 56301.

Quick Facts

NPI
1902804149
Type
Individual
Enumerated
Jul 12, 2005
Last Updated
Mar 16, 2021

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