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Individual

BRUCE C. PARSONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD PC

Contact information

Practice address
680 W HIGHWAY 20, TOLEDO, OR 97391-0190
(541) 336-3211
(541) 336-3043
Mailing address
PO BOX 190, TOLEDO, OR 97391-0190
(541) 336-3211
(541) 336-3043

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
955AT1 ACTIVE
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147637
OR
Enumeration date
11/02/2006
Last updated
04/13/2010
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