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1174517932
GARY D LICHTEN
FAIRLAWN, OH
NPI
1174517932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: OH 35038945)
Enumeration Date
2005-09-08
Last Update Date
2016-07-25
Business Address
Dr. GARY D LICHTEN MD
3624 W MARKET ST
FAIRLAWN, OH 44333-4510
Phone number: 330-665-0555
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Mailing Address
Dr. GARY D LICHTEN MD
3624 W MARKET ST
FAIRLAWN, OH 44333-4510
Phone number: 330-665-0555
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