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Individual

TIMOTHY JAMES HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LDO

Contact information

Practice address
1355 S MCCORD RD, HOLLAND, OH 43528-9141
(419) 867-0544
(419) 867-0604
Mailing address
1355 S MCCORD RD, HOLLAND, OH 43528-9141
(419) 867-0544
(419) 867-0604

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OP017728-S
OH

Other

Enumeration date
05/08/2024
Last updated
05/08/2024
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