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Individual

DR. MICHELLE DEANNE VINAGRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3003-B CRANBERRY HWY., E. WAREHAM, MA 02538
(508) 295-2661
(508) 295-2774
Mailing address
7 GINNY'S DRIVE, ROCHESTER, MA 02770
(508) 763-8165

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4124
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0313475
MA
Enumeration date
10/02/2006
Last updated
07/08/2007
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