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Individual

DR. DANA MIGNOGNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
706 GRAPE ST, WHITEHALL, PA 18052-5207
(610) 266-7700
(610) 266-9300
Mailing address
706 GRAPE ST, WHITEHALL, PA 18052-5207
(610) 266-7700
(610) 266-9300

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE007800T
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018424750001
PA
Enumeration date
06/17/2005
Last updated
07/09/2007
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