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1588208664
CARDINAL MEDICAL PROVIDER INC
CANTON, OH
NPI
1588208664
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Entity Type
Organization
Authorized Contact
MICHAEL CAPOBIANCO
Owner
330-361-9455
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2019-11-01
Last Update Date
2019-11-01
Business Address
CARDINAL MEDICAL PROVIDER INC
4537 EVERHARD RD NW
CANTON, OH 44718-2406
Phone number: 330-526-6146
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Mailing Address
CARDINAL MEDICAL PROVIDER INC
4537 EVERHARD RD NW
CANTON, OH 44718-2406
Phone number: 330-526-6146
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