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1942685854
MICHAEL PROKOP
WARREN, OH
NPI
1942685854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist School
(Licence: OH BG1-00-9474)
Enumeration Date
2015-07-22
Last Update Date
2015-07-22
Business Address
MICHAEL PROKOP
641 FAIRWAY DR NE
WARREN, OH 44483-5633
Phone number: 330-766-2492
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Mailing Address
MICHAEL PROKOP
641 FAIRWAY DR NE
WARREN, OH 44483-5633
Phone number: 330-766-2492
Copy
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