Individual
GARY HOLMES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
97 SOLON RD APT 2, BEDFORD, OH 44146-3762
(216) 200-2762
Mailing address
97 SOLON RD APT 2, BEDFORD, OH 44146-3762
(216) 200-2762
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SZ648474
OH
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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