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Individual

DR. W VICTOR VONBLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
140 W SPRING ST, ST MARYS, OH 45885-9612
(419) 394-2397
(419) 394-2398
Mailing address
PO BOX 237, 207 MEADOWBROOK LN, ST MARYS, OH 45885-9612
(419) 394-2793

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2612
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9088508
OH
Enumeration date
05/22/2007
Last updated
07/08/2007
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