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Individual

DR. JENIFER W AMBLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1222 PUTNEY RD, BRATTLEBORO, VT 05301-9062
(802) 254-6900
(802) 254-7610
Mailing address
PO BOX 8427, BRATTLEBORO, VT 05304-8427
(802) 254-6900
(802) 254-7610

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000234
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9163
VT
Enumeration date
06/15/2005
Last updated
09/26/2014
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