NPI Provider: 1679570105
Contact Name: PRIGGE ANN LEIGH
Position: GENERAL MANAGER
Phone: (419) 337-2399
Tri-state, Inc. Information:
Tri-state, Inc. organization have npi 1679570105, taxonomy code is 332BX2000X with license number is N105013 in . This Business address located in 732 S Shoop Ave, Wauseon, OH 43567 Ohio.
Practice Location
Address: 732 S Shoop Ave, Wauseon, OH 43567
Phone: (419) 337-2399
Business Location
Address: 732 S Shoop Ave, Wauseon, OH 43567
Phone: (419) 337-2399
Fax: (419) 337-5392
Taxonomy
Taxonomy Code: 332BX2000X
License Number: N105013
License Number of State: OH
Primary Taxonomy Switch: Y
Enumeration Date: 6/30/2005
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