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Individual

MR. DARRELL EUGENE GROMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
204 HILTY DR., PANDORA, OH 45877-0209
(419) 384-3275
(419) 384-3285
Mailing address
PO BOX 209, 204 HILTY DR., PANDORA, OH 45877-0209
(419) 384-3275
(419) 384-3285

Taxonomy

Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
3800/794
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0597420
OH
Enumeration date
02/09/2006
Last updated
03/05/2019
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