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Organization
S W MABEE LLC
Active
Organization
S W MABEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAGE YARBROUGH (CLIENT REPRESENTATIVE)
(330) 493-9004
Entity
Organization
Contact information
Practice address
3624 W MARKET ST, STE 103, FAIRLAWN, OH 44333-4510
(330) 665-9800
Mailing address
PO BOX 26010, AKRON, OH 44319-6010
(888) 719-9015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965808
—
OH
Enumeration date
05/18/2006
Last updated
11/19/2007
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