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Individual

DR. MICHELLE RENEE TRUMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1015 NORTH LOYALSOCK AVE., VISION CENTER C/O DR. MICHELLE TRUMP, MONTOURSVILLE, PA 17754-2283
(570) 368-8820
(570) 329-0190
Mailing address
750 MAPLE ST, DR. MICHELLE R. TRUMP, PC, BLOOMSBURG, PA 17815-2908
(603) 630-3686
(570) 329-0190

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000608
VA
152W00000X
Optometrist
789
NH
152W00000X
Optometrist
OB009154
PA
152W00000X
Optometrist
Primary
OEG001436
PA

Other

Enumeration date
08/11/2006
Last updated
01/29/2014
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