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Organization
LAKE COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION
Active
Organization
LAKE COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E. DIAK (COO)
(440) 354-5656
Entity
Organization
Contact information
Practice address
933 MENTOR AVE, PAINESVILLE, OH 44077-2519
(440) 354-5656
Mailing address
933 MENTOR AVE, PAINESVILLE, OH 44077-2519
(440) 354-5656
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NULL
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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