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Individual

DR. DAN R HOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
518 N JEFFERSON ST, HUNTINGTON, IN 46750-2747
(260) 356-4322
(260) 356-4326
Mailing address
518 N JEFFERSON ST, HUNTINGTON, IN 46750-2747
(260) 356-4322
(260) 356-4326

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001796
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100138000
IN
Enumeration date
05/04/2006
Last updated
12/18/2013
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