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Individual

DR. REGINALD HENRY JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
331 UPPER PLN, BRADFORD, VT 05033-9207
(802) 222-4543
(802) 222-4503
Mailing address
PO BOX 325, BRADFORD, VT 05033-0325
(802) 222-4543
(802) 222-4503

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000195
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006617
VT
01
0900621YOVT03
BLUE CROSS
NH
05
30007992
NH
01
6617
BLUE CROSS
VT
Enumeration date
06/28/2005
Last updated
05/15/2009
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