Individual
MRS. JILL ANN PERGIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-6238
Mailing address
1802 33RD AVE, LONGVIEW, WA 98632-3308
(360) 414-0143
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00001937
WA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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