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Individual

DR. JAMES DAVID GROVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
303 N MAIN ST, URBANA, OH 43078-1605
(937) 653-5228
Mailing address
303 N MAIN ST, URBANA, OH 43078-1605
(614) 878-0361

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5180
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2237476
OH
Enumeration date
10/25/2006
Last updated
09/25/2019
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