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Organization
PICONE FAMILY MEDICINE, LLC
Active
Organization
PICONE FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY RAE PICONE (NURSE PRACTITIONER/OWNER)
(216) 926-4717
Entity
Organization
Contact information
Practice address
9621 E CENTER ST, WINDHAM, OH 44288-1010
(330) 326-6193
Mailing address
1027 AURORA HILL DR, AURORA, OH 44202-8421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
10/04/2019
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