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Individual

MARK K. ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
123 MILL ST, LOCKLAND, OH 45215-4624
(513) 761-1363
(513) 761-1364
Mailing address
123 MILL ST, LOCKLAND, OH 45215-4624
(513) 761-1363
(513) 761-1364

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3567T621
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0547322
OH
Enumeration date
06/17/2005
Last updated
05/12/2009
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