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Individual

BERNARD DEHOOG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
1607 WESTOVER TER, GREENSBORO, NC 27408-1996
(336) 288-9504
(336) 282-1957
Mailing address
1607 WESTOVER TER, GREENSBORO, NC 27408-1996
(336) 288-9504
(336) 282-1957

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
993
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8802029
NC
Enumeration date
01/04/2007
Last updated
07/09/2007
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