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1073513859
ROBERT E REAVEN
CANTON, OH
NPI
1073513859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: OH 35042206)
Enumeration Date
2005-07-22
Last Update Date
2007-07-19
Business Address
ROBERT E REAVEN MD
1320 MERCY DR NW
CANTON, OH 44708-2614
Phone number: 330-489-1070
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Mailing Address
ROBERT E REAVEN MD
PO BOX 20238
CANTON, OH 44701-0238
Phone number: 866-684-1492
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