Individual
MARY E REX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 CUMBERLAND ST, CALDWELL, OH 43724
(740) 732-4620
(740) 732-7179
Mailing address
402 CUMBERLAND ST, CALDWELL, OH 43724-1234
(740) 732-4620
(740) 732-7179
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3891SC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0735404
—
OH
Enumeration date
11/07/2006
Last updated
05/23/2011
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