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Organization
OCCMED SOURCE, LLC
Active
Organization
OCCMED SOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A MOTEN D.O. (MEDICAL DIRECTOR)
(330) 548-0086
Entity
Organization
Contact information
Practice address
174 CURRIE HALL PKWY, SUITE D, KENT, OH 44240-4387
(330) 548-0086
(330) 548-0085
Mailing address
174 CURRIE HALL PKWY, SUITE D, KENT, OH 44240-4387
(330) 548-0086
(330) 548-0085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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