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Organization

GLANVILLE & HUSSING, O.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES M GLANVILLE O.D. (PRESIDENT)
(330) 929-9941
Entity
Organization

Contact information

Practice address
307 W MAIN ST, KENT, OH 44240-2400
(330) 673-7538
(330) 673-0647
Mailing address
307 W MAIN ST, KENT, OH 44240-2400
(330) 673-7538
(330) 673-0647

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0361504
OH
Enumeration date
12/12/2006
Last updated
01/08/2013
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