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Organization

STEPHEN N. CAJACOB, O.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN N CAJACOB O.D. (OWNER)
(419) 228-8116
Entity
Organization

Contact information

Practice address
1034 W MARKET ST, LIMA, OH 45805-2730
(419) 228-8116
(419) 228-1160
Mailing address
1034 W MARKET ST, LIMA, OH 45805-2730
(419) 228-8116
(419) 228-1160

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2935T377
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0231270
OH
Enumeration date
01/17/2008
Last updated
03/31/2008
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