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Individual

DR. RAYMOND LARWENCE WEISKIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5419 N MAIN ST, DAYTON, OH 45415-3454
(937) 278-0675
(937) 278-9535
Mailing address
7111 COLLEEN CT, DAYTON, OH 45415-1201
(937) 836-1815

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3051T978
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0239647
OH
Enumeration date
07/07/2005
Last updated
04/03/2008
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