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Individual
DR. ALBERTA DAGOBERT
Active
Individual
DR. ALBERTA DAGOBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618003299
VA
152W00000X
Optometrist
18004478A
IN
152W00000X
Optometrist
OEG004076
PA
152W00000X
Optometrist
Primary
OPC5535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPC5535
—
FL
Enumeration date
06/07/2018
Last updated
07/11/2024
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