Individual
DR. HOLLY LARAINE SPROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
316 2ND ST, MARIETTA, OH 45750-2919
(740) 374-3937
Mailing address
3025 CITY VIEW DR, PARKERSBURG, WV 26101-6232
(304) 481-8437
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1029-OD
WV
152W00000X
Optometrist
5542
OH
Other
Enumeration date
07/18/2006
Last updated
04/16/2013
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