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Individual

MRS. BOBBI JANE BIRCHLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
485 CARVER ST NW, MASSILLON, OH 44647-5309
(330) 837-7765
Mailing address
25 BENDER ST NE, NAVARRE, OH 44662-8541
(330) 879-5675

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2715931
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2715931
OH
Enumeration date
05/01/2007
Last updated
07/08/2007
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