Gregory Dale Back I

NPI #1093413254 in Franklin, Ohio

Provider Information

NPI Number
1093413254
Entity Type
Individual
Name
Gregory Dale Back I
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Feb 17, 2023
Last Updated
Feb 17, 2023

Practice Location

Address
1275 E 2ND STREET
State
Ohio
ZIP Code
45005
Phone
(937) 704-0809

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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