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1801380241
DR LAURENCE W SPIVACK DPM INC
MENTOR, OH
NPI
1801380241
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Entity Type
Organization
Authorized Contact
LAURENCE SPIVACK
Dpm/Owner
440-487-3947
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: OH 36001535)
Enumeration Date
2018-06-19
Last Update Date
2018-07-16
Business Address
DR LAURENCE W SPIVACK DPM INC
9330 HIDDEN GLEN DR
MENTOR, OH 44060
Phone number: 440-487-3947
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Mailing Address
DR LAURENCE W SPIVACK DPM INC
9330 HIDDEN GLEN DR
MENTOR, OH 44060-7362
Phone number: 440-487-3947
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