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Individual

CHRISTOPHER O OGOLLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
38 FENN RD, NEWINGTON, CT 06111-2212
(860) 436-4410
(860) 436-4401
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003198
CT

Other

Enumeration date
05/17/2021
Last updated
01/19/2022
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