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Individual

MRS. BRENDA M HOPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICENSED OPTICIAN

Contact information

Practice address
1 NEUMANN WAY, CINCINNATI, OH 45215-1915
(513) 243-2946
Mailing address
2305 OLD STATE ROUTE 32, APT F, BATAVIA, OH 45103-1979
(513) 304-0208

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S-6587
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27-3752924
ANTHEM
OH
Enumeration date
05/02/2011
Last updated
05/02/2011
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