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1548373822
IVAN SANTOSO
AKRON, OH
NPI
1548373822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 34-006940)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
Dr. IVAN SANTOSO D.O.
3333 MASSILLON RD STE 102
AKRON, OH 44312-5982
Phone number: 330-896-3036
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Mailing Address
Dr. IVAN SANTOSO D.O.
3333 MASSILLON RD STE 102
AKRON, OH 44312-5982
Phone number: 330-896-3036
Copy
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