Individual
DR. JILL GANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2000 MEMORIAL DR, SUITE 6, ST JOHNSBURY, VT 05819-8321
(802) 748-3536
(802) 748-4838
Mailing address
2000 MEMORIAL DR, SUITE 6, ST JOHNSBURY, VT 05819-8321
(802) 748-3536
(802) 748-4838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030.0068208
VT
Other
Enumeration date
08/27/2010
Last updated
10/18/2012
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