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1710049085
MARK ANDREW BASHORE
MADISON, OH
NPI
1710049085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OH 4001T169)
Enumeration Date
2006-12-14
Last Update Date
2010-05-24
Business Address
Dr. MARK ANDREW BASHORE O.D.
6380 N RIDGE RD
MADISON, OH 44057-2548
Phone number: 440-428-2172
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Mailing Address
Dr. MARK ANDREW BASHORE O.D.
6380 N RIDGE RD
MADISON, OH 44057-2548
Phone number: 440-428-2172
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