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Individual

JUDY BAVONGKHOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
479 OLD UNION TPKE, LANCASTER, MA 01523-3029
(978) 537-3900
(978) 537-6030
Mailing address
479 OLD UNION TPKE, LANCASTER, MA 01523-3029
(978) 537-3900
(978) 537-6030

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5176
MA

Other

Enumeration date
09/13/2016
Last updated
09/13/2016
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