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Individual

DR. BRENT MICHAEL HUME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
FARENHOLT AVE, BLDG 50, AGANA HEIGHTS, GU 96910
(317) 627-4101
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003
(317) 627-4101

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18004023
IN
152W00000X
Optometrist
Primary
18004023A
IN

Other

Enumeration date
06/14/2017
Last updated
02/10/2026
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