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1669547824
LICKING MEMORIAL PROFESSIONAL CORP.
NEWARK, OH
NPI
1669547824
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Entity Type
Organization
Authorized Contact
ROBERT A. MONTAGNESE
Credentialing COO Rdinator
740-348-4027
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2006-11-22
Last Update Date
2020-08-22
Business Address
LICKING MEMORIAL PROFESSIONAL CORP.
399 E MAIN ST
NEWARK, OH 43055-6516
Phone number: 740-348-1840
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Mailing Address
LICKING MEMORIAL PROFESSIONAL CORP.
399 E MAIN ST
NEWARK, OH 43055-6516
Phone number: 740-348-1840
Copy
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