Individual
ALLAN GROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 E MAIN ST, GOWANDA, NY 14070-1208
(716) 532-2396
Mailing address
6 E MAIN ST, GOWANDA, NY 14070-1208
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007074
NY
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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