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Organization
DELTA HST, LTD
Active
Organization
DELTA HST, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PETROLLA (MEMBER)
(330) 757-3166
Entity
Organization
Contact information
Practice address
3296 STONES THROW AVE, POLAND, OH 44514-4213
(330) 757-3166
Mailing address
3296 STONES THROW AVE, POLAND, OH 44514-4213
(330) 757-3166
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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