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1083767677
PORTAGE FAMILY PRACTICE CLINIC, INC.
NORTH CANTON, OH
NPI
1083767677
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Entity Type
Organization
Authorized Contact
LEONARD D TAMBURRO
President
330-499-7591
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: OH 34003002)
Enumeration Date
2007-01-19
Last Update Date
2011-10-25
Business Address
PORTAGE FAMILY PRACTICE CLINIC, INC.
1413 PORTAGE ST NW
NORTH CANTON, OH 44720-2288
Phone number: 330-499-7591
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Mailing Address
PORTAGE FAMILY PRACTICE CLINIC, INC.
1413 PORTAGE ST NW
NORTH CANTON, OH 44720-2288
Phone number: 330-499-7591
Copy
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