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Individual

DR. LUBEN METODIEV IKONOMOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1593 VERMONT ROUTE 107, BETHEL, VT 05032-4456
(802) 234-9728
(802) 234-9728
Mailing address
1593 VERMONT ROUTE 107, BETHEL, VT 05032-4456
(802) 234-9728
(802) 234-9728

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030.0133986
VT

Other

Enumeration date
05/05/2023
Last updated
05/08/2023
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