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Individual
RAYMOND C. OVERHOLSER
Active
Individual
RAYMOND C. OVERHOLSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP2596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20412
BCBS OF FL
FL
Enumeration date
12/12/2006
Last updated
02/03/2008
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