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Organization

M&J MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE ANN WALTER (OWNER)
(330) 297-9450
Entity
Organization

Contact information

Practice address
1034 W MAIN ST, RAVENNA, OH 44266-2708
(330) 297-9450
(330) 297-9455
Mailing address
1034 W MAIN ST, RAVENNA, OH 44266-2708
(330) 297-9450
(330) 297-9455

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2518387
OH
Enumeration date
08/13/2006
Last updated
12/19/2019
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