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1235328980
PORTAGE REGIONAL GASTROENTEROLOGY, LLC
RAVENNA, OH
NPI
1235328980
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Entity Type
Organization
Authorized Contact
MICHAEL S CLINE
Owner
330-296-7256
Organization Subpart ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
Enumeration Date
2007-10-18
Last Update Date
2007-10-18
Business Address
PORTAGE REGIONAL GASTROENTEROLOGY, LLC
330 N CHESTNUT ST
RAVENNA, OH 44266-2287
Phone number: 330-296-7256
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Mailing Address
PORTAGE REGIONAL GASTROENTEROLOGY, LLC
330 N CHESTNUT ST
RAVENNA, OH 44266-2287
Phone number: 330-296-7256
Copy
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