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1114642907
OLD TYME FAMILY MEDICINE, LLC
LONDON, OH
NPI
1114642907
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Entity Type
Organization
Authorized Contact
MORGAN STEISKAL
Nurse Practitioner
740-490-7100
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2022-10-05
Last Update Date
2023-02-28
Business Address
OLD TYME FAMILY MEDICINE, LLC
57 W HIGH ST
LONDON, OH 43140-1050
Phone number: 740-490-7100
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Mailing Address
OLD TYME FAMILY MEDICINE, LLC
PO BOX 138
LEWIS CENTER, OH 43035
Phone number: 740-490-7100
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