Individual
DR. OLIVIA BOEHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 DAVIDSON RD, MOUNT VERNON, IL 62864-6741
(618) 244-5748
Mailing address
110 DAVIDSON RD, MOUNT VERNON, IL 62864-6741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011347
IL
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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