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Individual

DR. GRACE EUNHYE JEONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 288-3230
Mailing address
5 COLISEUM AVE, NASHUA, NH 03063-3292
(603) 882-9800
(603) 882-0556

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5183
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3102027
NH
Enumeration date
07/02/2014
Last updated
02/14/2019
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