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Individual

GAIL C HERRON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2400 SOUTHEAST BLVD, SALEM, OH 44460-3481
(330) 332-8801
(330) 332-5447
Mailing address
2400 SOUTHEAST BLVD, SALEM, OH 44460-3481
(330) 332-8801
(330) 332-5447

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH2889
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0339824
OH
Enumeration date
01/24/2007
Last updated
02/20/2008
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