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Organization
YOUR DIRECT MD
Active
Organization
YOUR DIRECT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NONSO EZEMA MD (MEDICAL DIRECTOR)
(708) 941-3516
Entity
Organization
Contact information
Practice address
658 W MARKET ST STE 106, LIMA, OH 45801-5602
(567) 970-3565
Mailing address
658 W MARKET ST STE 106, LIMA, OH 45801-5602
(567) 970-3565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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