TIMOTHY THOMAS BAUM

ASHTABULA, OH
NPI1942355375
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: OH  1996-SC)
Enumeration Date2007-01-24
Last Update Date2008-07-07
Business Address
Mr. TIMOTHY THOMAS BAUM OPTICIAN
2049 W PROSPECT RD
ASHTABULA, OH 44004-6437
Phone number: 440-992-4877
Mailing Address
Mr. TIMOTHY THOMAS BAUM OPTICIAN
2049 W PROSPECT RD
ASHTABULA, OH 44004-6437
Phone number: 440-992-4877
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