COREY ISIDRO VANDERSALL

STOW, OH
NPI1811790637
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2025-03-28
Last Update Date2025-03-28
Business Address
COREY ISIDRO VANDERSALL
2414 SHADOW LN
STOW, OH 44224-1583
Phone number: 234-284-5172
Mailing Address
COREY ISIDRO VANDERSALL
2414 SHADOW LN
STOW, OH 44224-1583
Phone number: 234-284-5172
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