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Organization

BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY M BRACALE (ADMININSTRATOR)
(717) 272-0581
Entity
Organization

Contact information

Practice address
233 W PENN AVE, CLEONA, PA 17042-3230
(717) 272-0581
(717) 274-5889
Mailing address
233 W PENN AVE, CLEONA, PA 17042-3230
(717) 272-0581
(717) 274-5889

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG000036
PA
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
07/06/2006
Last updated
07/01/2009
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