GREGORY DALE BACK

FRANKLIN, OH
NPI1093413254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
Enumeration Date2023-02-17
Last Update Date2023-02-17
Business Address
GREGORY DALE BACK
1275 E 2ND STREET
FRANKLIN, OH 45005
Phone number: 937-704-0809
Mailing Address
GREGORY DALE BACK
7518 WHITEHALL DR
DAYTON, OH 45459-3446
Phone number: 347-901-0406
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