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1053521021
DERMATOLOGY WEST, LLC
WESTLAKE, OH
NPI
1053521021
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Entity Type
Organization
Authorized Contact
KYLE LOREN WAGAMON
Owner
440-858-3176
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2007-05-22
Last Update Date
2020-08-22
Business Address
DERMATOLOGY WEST, LLC
26410 CENTER RIDGE RD
WESTLAKE, OH 44145-4067
Phone number: 440-858-3176
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Mailing Address
DERMATOLOGY WEST, LLC
1445 CASTRO ST
SAN FRANCISCO, CA 94114-3717
Phone number: 440-858-3176
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