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Individual

HOWARD D INGALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OP10148S OHIO

Contact information

Practice address
7725 HOKE RD, ENGLEWOOD, OH 45315-9725
(937) 564-5905
Mailing address
7725 HOKE RD, ENGLEWOOD, OH 45315-9725
(937) 564-5905

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
OP.10148.S
OH
156FX1800X
Optician
Primary
OP.10148S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103697076
OH
Enumeration date
02/22/2023
Last updated
02/22/2023
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