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Sandra Eagle

NPI 1548555444 · on the registry since 2011 · sole proprietor

Practice

Address
1501 E San Marnan Dr
T-1792
Waterloo, IA 50702
Phone
(319) 226-6761
Fax
(319) 226-6761
Organisation at this address
Iowa Cvs Pharmacy Llc
Luxottica Retail North America Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-06-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa