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Individual

DR. DUANE DOUGLAS DEEDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
11139 COUNTY ROAD 1, CHESAPEAKE, OH 45619-7015
(740) 867-4411
(740) 867-8416
Mailing address
11139 COUNTY ROAD 1, CHESAPEAKE, OH 45619-7015
(740) 867-4411
(740) 867-8416

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4832
OH
152W00000X
Optometrist
961-OD
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2026702
OH
Enumeration date
07/29/2005
Last updated
09/10/2012
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