CLARK KELLOGG

MANSFIELD, OH
NPI1457098154
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: OH  32698321)
Enumeration Date2022-05-16
Last Update Date2023-01-09
Business Address
CLARK KELLOGG
799 LEXINGTON AVE
MANSFIELD, OH 44907-1906
Phone number: 419-756-5133
Mailing Address
CLARK KELLOGG
5910 BLUESTONE WAY
LEWIS CENTER, OH 43035-7550
Phone number: 614-301-2639
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