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1912202649
MATTHEW JOEL WENGER
FAIRLAWN, OH
NPI
1912202649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
243U00000X Radiology Practitioner Assistant
(Licence: OH 06 TX 1255)
Enumeration Date
2011-01-11
Last Update Date
2011-01-11
Business Address
Mr. MATTHEW JOEL WENGER RPA
2812 GREENVILLE LN
FAIRLAWN, OH 44333-3291
Phone number: 330-666-6389
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Mailing Address
Mr. MATTHEW JOEL WENGER RPA
2812 GREENVILLE LN
FAIRLAWN, OH 44333-3291
Phone number: 330-666-6389
Copy