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Organization
OHIOGUIDESTONE
Active
Organization
OHIOGUIDESTONE
Active
Other names
Guidestone
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY JACKSON (BILLING SUPERVISOR)
(440) 260-8328
Entity
Organization
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8379
Mailing address
434 EASTLAND ROAD, BEREA, OH 44017-2058
(440) 260-8327
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
11/20/2017
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