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Individual

DR. ROBERT KELEIGH HORNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0DP-1068
ID
152W00000X
Optometrist
278987-9934
UT
152W00000X
Optometrist
Primary
751
NV

Other

Enumeration date
12/26/2006
Last updated
01/15/2014
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