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Individual

RYAN HORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2000 NEWPOINT PKWY STE 100, LAWRENCEVILLE, GA 30043-5582
(678) 892-3773
Mailing address
4051 S CREEKSIDE DR, NEW PALESTINE, IN 46163-9107
(317) 694-9886

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003758A
IN

Other

Enumeration date
07/24/2012
Last updated
07/24/2012
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