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Individual

KENNETH LEON GORTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
421A E WALTON ST, WILLARD, OH 44890-9108
(419) 933-4327
(419) 933-4336
Mailing address
1500 S COUNTY ROAD 1, TIFFIN, OH 44883-9746
(419) 443-0710
(419) 443-0576

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2891
OH

Other

Enumeration date
01/30/2009
Last updated
08/18/2016
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