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Organization
THE BUCKEYE RANCH
Active
Organization
THE BUCKEYE RANCH
Active
Other names
Ohio State University
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA GENTILE M.D. (PSYCHIATRIST)
(614) 539-6563
Entity
Organization
Contact information
Practice address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 539-6563
Mailing address
5665 HOOVER RD, GROVE CITY, OH 43123-9122
(614) 539-6563
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
RN.142283-NP
OH
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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