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Organization
TWIN VALLEY FAMILY PRACTICE
Active
Organization
TWIN VALLEY FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL L BLAND M.D. (PRESIDENT/PHYSICIAN)
(937) 839-8837
Entity
Organization
Contact information
Practice address
60 W DAYTON ST, WEST ALEXANDRIA, OH 45381-1128
(937) 839-8837
(937) 839-0408
Mailing address
60 W DAYTON ST, WEST ALEXANDRIA, OH 45381-1128
(937) 839-8837
(937) 839-0408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35073056B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061174
—
OH
Enumeration date
04/18/2008
Last updated
04/18/2008
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