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Individual

DR. MARLOS DARLENE BEGENY-MAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
7969 W RIDGEWOOD DR, PARMA, OH 44129-5516
(440) 884-3090
(440) 884-1046
Mailing address
1775 E HAYMARKET WAY, HUDSON, OH 44236-4671
(330) 342-9846

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1393
CO
152W00000X
Optometrist
Primary
4002
OH
152W00000X
Optometrist
OE006855P
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20-3287006
TAX ID
OH
Enumeration date
01/18/2007
Last updated
07/08/2007
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