Individual
MR. R. EMIL HAGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1325 CAMERON AVE, LEWIS CENTER, OH 43035-9662
(614) 888-3972
(614) 888-3709
Mailing address
1325 CAMERON AVE, LEWIS CENTER, OH 43035-9662
(614) 888-3972
(614) 888-3709
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S.560
OH
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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