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Individual

DR. JENNIFER JEANNE VOGT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4918
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354-2804
(909) 558-4918

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
0101237407
VA
2083X0100X
Occupational Medicine Physician
Primary
0101237407
VA
208D00000X
General Practice Physician
0101237407
VA

Other

Enumeration date
03/02/2006
Last updated
12/06/2022
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