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Amanda Lynn Hennon
Optician in Poland, Ohio
NPI 1871292821

Amanda Lynn Hennon is a Optician based in Poland, OH and is specialized in Optician. Amanda Lynn Hennon practices in Poland, OH. The NPI Number for Amanda Lynn Hennon is 1871292821 and holds a License No. 12618S (Ohio).

The current practice location address for Amanda Lynn Hennon is 1300 Doral Dr, Poland, OH and can be reached out via phone at 330-758-0708.

Location: 1300 Doral Dr, Poland, OH, 44514-1900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871292821
Provider Name
Amanda Lynn Hennon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1300 Doral Dr, Poland, OH, 44514-1900
Phone Number
330-758-0708
Fax Number
Provider Enumeration Date
02/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 Doral Dr
City
Poland
State
Ohio
Zip
44514-1900
Phone Number
330-758-0708
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Doral Dr
City
Poland
State
Ohio
Zip
44514-1900
Phone Number
330-758-0708
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
12618S (Ohio)
Definition
Definition to come...
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