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Organization

FOUNTAIN CITY MEDICAL CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEDRITO A GALUPO M.D. (PRESIDENT)
(419) 636-2525
Entity
Organization

Contact information

Practice address
324 W HIGH ST, BRYAN, OH 43506-1614
(419) 636-2525
(419) 636-0632
Mailing address
324 W HIGH ST, BRYAN, OH 43506-1614
(419) 636-2525
(419) 636-0632

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35033085
OH

Other

Enumeration date
04/01/2008
Last updated
04/01/2008
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