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DR. YANA YURIVNA BARGENDER O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1841579570

Individual Registrant:
DR. YANA YURIVNA BARGENDER O.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
300 LYCOMING MALL CIR SUITE 100 MUNCY, PA 17756-8072 US
Tel: 570-546-3115  Fax: 570-546-6498

Contact information for business:
776 WATER ST  NORTHUMBERLAND, PA 17857-1272 US
Tel: 315-663-6929  Fax: --

Registration Information:
NPI: 1841579570
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N152W00000XEye and Vision Services Providers
Optometrist
NYTUV007785
Y152W00000XEye and Vision Services Providers
Optometrist
PAOEG002536

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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