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Individual

DR. BRIAN L STARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
58 W HIGH ST, MOUNT GILEAD, OH 43338-1213
(419) 947-8330
(419) 947-8355
Mailing address
58 W HIGH ST, MOUNT GILEAD, OH 43338-1213
(419) 947-8330
(419) 947-8355

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3826 T-665
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0627101
OH
Enumeration date
06/23/2005
Last updated
02/15/2011
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