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Organization

SPEX LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOCELYN KAY GIBSON OD (OWNER)
(740) 420-3900
Entity
Organization

Contact information

Practice address
102 WILSON AVE, CIRCLEVILLE, OH 43113-1243
(740) 420-3900
(740) 420-2992
Mailing address
102 WILSON AVE, CIRCLEVILLE, OH 43113-1243
(740) 420-3900
(740) 420-2992

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
50731T1950
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2496571
OH
Enumeration date
05/29/2008
Last updated
04/28/2009
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