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1255380630
ALAN LEROY PROK
COLUMBUS, OH
NPI
1255380630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: OH 35085538)
Enumeration Date
2006-05-10
Last Update Date
2016-06-02
Business Address
ALAN LEROY PROK MD
4619 KENNY RD
COLUMBUS, OH 43220-2779
Phone number: 614-457-8180
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Mailing Address
ALAN LEROY PROK MD
1 WYOMING ST
DAYTON, OH 45409-2722
Phone number:
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