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Rebekah Yvonne Bradtke
Optician in Dyersville, Iowa
NPI 1124197538

Rebekah Yvonne Bradtke is a Optician based in Dyersville, IA and is specialized in Optician. Rebekah Yvonne Bradtke practices in Dyersville, IA. The NPI Number for Rebekah Yvonne Bradtke is 1124197538 and holds a License No. (Iowa).

The current practice location address for Rebekah Yvonne Bradtke is 1213 12Th Ave Se, Dyersville, IA and can be reached out via phone at 563-875-2344 and via fax at 563-875-2344.

Location: 1213 12Th Ave Se, Dyersville, IA, 52040-2416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124197538
Provider Name
Rebekah Yvonne Bradtke
Credential
Provider Entity Type
Individual
Gender
Female
Address
1213 12Th Ave Se, Dyersville, IA, 52040-2416
Phone Number
563-875-2344
Fax Number
563-875-2344
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0449512 05 IA
institution
Provider Business Practice Location Address Details
Address
1213 12Th Ave Se
City
Dyersville
State
Iowa
Zip
52040-2416
Phone Number
563-875-2344
Fax Number
563-875-2344
person
Provider Business Mailing Address Details
Address
1213 12Th Ave Se
City
Dyersville
State
Iowa
Zip
52040-2416
Phone Number
563-875-2344
Fax Number
563-875-2344
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
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Definition
Definition to come...
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