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Individual

MR. JAMES KELLY PALMER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.D.O.

Contact information

Practice address
765 N DETROIT ST, XENIA, OH 45385-1960
(937) 270-2425
Mailing address
765 N DETROIT ST, XENIA, OH 45385-1960
(937) 270-2425

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5845-SC
OH

Other

Enumeration date
01/26/2011
Last updated
01/26/2011
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