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Organization
CHILD AND ADOLESCENT SPECIALTY CARE OF DAYTON INC.
Active
Organization
CHILD AND ADOLESCENT SPECIALTY CARE OF DAYTON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN GALEMMO L.P.N. (NURSING OFFICE MANAGER)
(937) 667-7711
Entity
Organization
Contact information
Practice address
1483 WEST MAIN STREET, TIPP CITY, OH 45371
(937) 667-7711
(937) 667-8067
Mailing address
1483 WEST MAIN STREET, TIPP CITY, OH 45371
(937) 667-7711
(937) 667-8067
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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