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NPI Provider: 1003815762
Contact Name: Breslin P Kevin
Position: Executive VP
Phone: (201) 242-4004
1957 N. Lakeman Ave. Operating Company, Llc Information:
1957 N. Lakeman Ave. Operating Company, Llc organization have npi 1003815762, taxonomy code is 314000000X with license number is in . This Business address located in 1957 N Lakeman Dr, Bellbrook, OH 45305 Ohio. Get directions of 1957 N. Lakeman Ave. Operating Company, Llc.
Practice Location
Address: 1957 N Lakeman Dr, Bellbrook, OH 45305
Phone: (937) 848-7800
Business Location
Address: 1957 N Lakeman Dr, Bellbrook, OH 45305
Phone: (937) 848-7800
Fax: (937) 848-5683
Taxonomy
Taxonomy Code: 314000000X
License Number:
License Number of State: OH
Primary Taxonomy Switch: Y
Enumeration Date: 7/15/2005
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