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Individual
JESSICA QUINAGORAN
Active
Individual
JESSICA QUINAGORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14298626-9934
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
08/30/2026
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