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Individual

DR. REBECCA JO HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
282 BERLIN MALL RD, UNIT 4, BERLIN, VT 05602-8292
(802) 223-2090
(802) 223-5336
Mailing address
282 BERLIN MALL RD, UNIT 4, BERLIN, VT 05602-8292
(802) 223-2090
(802) 223-5336

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000301
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008111
VT
Enumeration date
08/20/2006
Last updated
07/08/2007
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