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Individual

DR. DONALD RAYMOND TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2106 LUMBER AVE, WHEELING, WV 26003-5390
(304) 242-5544
(304) 242-2560
Mailing address
2106 LUMBER AVE, WHEELING, WV 26003-5390
(304) 242-5544
(304) 242-2560

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
594OD
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0149809000
WV
Enumeration date
12/01/2005
Last updated
08/23/2008
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