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1164172672
BLAIR CHARLES BAKULA
AKRON, OH
NPI
1164172672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-27
Last Update Date
2022-03-27
Business Address
Mr. BLAIR CHARLES BAKULA DO
525 E MARKET ST
AKRON, OH 44304-1619
Phone number: 330-379-5083
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Mailing Address
Mr. BLAIR CHARLES BAKULA DO
525 E MARKET ST
AKRON, OH 44304-1619
Phone number: 330-379-5083
Copy
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