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Individual

GINGER POPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LDO

Contact information

Practice address
10300 FOREST HILL BLVD, SUITE 161, WELLINGTON, FL 33414-3120
(561) 798-9001
(561) 333-9559
Mailing address
10300 FOREST HILL BLVD, SUITE 161, WELLINGTON, FL 33414-3120
(561) 798-9001
(561) 333-9559

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5694
FL

Other

Enumeration date
04/26/2017
Last updated
04/26/2017
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