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Individual

DR. JACQUELINE CARINGOLA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
200 LIBERTY ST, WARREN, PA 16365-2353
(814) 726-4924
Mailing address
200 LIBERTY ST, WARREN, PA 16365-2353
(814) 726-4924

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001221
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0070423160002
PA
Enumeration date
03/07/2006
Last updated
07/08/2007
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