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1245532654
PATRIO D TISMO PA INC
IRONTON, OH
NPI
1245532654
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Entity Type
Organization
Authorized Contact
PATRIO D TISMO
Owner
740-532-0059
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 33966)
Enumeration Date
2010-11-18
Last Update Date
2011-10-18
Business Address
PATRIO D TISMO PA INC
107 NORTH 3RD STREET
IRONTON, OH 45638
Phone number: 740-532-0059
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Mailing Address
PATRIO D TISMO PA INC
P.O. BOX 500 107 NORTH 3RD STREET
IRONTON, OH 45638
Phone number: 740-532-0059
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