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Individual

DR. JENNIFER DEMOTT-CAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1500 W CHESTNUT ST, WASHINGTON, PA 15301-5864
(724) 228-5610
(724) 222-7565
Mailing address
217 JACKIE FRANK RD, SMITHFIELD, PA 15478-1501
(724) 564-1811
(724) 564-0803

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0EG000199
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016023160004
PA
05
01602316003
PA
05
01602316006
PA
Enumeration date
06/14/2005
Last updated
01/04/2011
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