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Individual

JENNA MAUREEN LAROCQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D

Contact information

Practice address
67 HALL RD STE 2, STURBRIDGE, MA 01566-1473
(508) 978-1923
(508) 463-9973
Mailing address
67 HALL RD STE 2, STURBRIDGE, MA 01566-1473
(508) 978-1923
(508) 463-9973

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5326
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5326
OD
MA
Enumeration date
06/10/2016
Last updated
06/29/2026
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