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Contact Information

JENNIFER L DEGON, ABOC
126 MISSOURI AVE
FORT LEONARD WOOD, MO65473-8952
 Phone: 573-596-0048
 Fax: 573-596-0716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometric Technician

156FX1202X
Indicates primary specialty

NPI Profile & details for JENNIFER L DEGON · (Female)

NPI Number 1700192937
Status Active
Credentials ABOC
Entity Individual
Enumeration date 08/25/2010
Last updated 08/25/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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