# MASHBURN FAMILY PRACTICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093777872
- **Authorized official:** MRS. SANDRA J MASHBURN BSN RN (CORPORATE SECRETARY/ OFFICE MANAGER)
- **Authorized official phone:** (330) 482-0400

## Contact information

- **Practice address:** 913 STATE ROUTE 46, OAKMONT PLAZA, COLUMBIANA, OH 44408-9457
- **Practice address phone:** (330) 482-0400
- **Practice address fax:** (330) 482-0402
- **Mailing address:** 913 STATE ROUTE 46, OAKMONT PLAZA, COLUMBIANA, OH 44408-9457
- **Mailing address phone:** (330) 482-0400
- **Mailing address fax:** (330) 482-0402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35075832 | OH | Yes |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 08/22/2020