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Individual

ANGELA SALCEDO AQUINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-2616
Mailing address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-2616

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.251651
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7400674
OH
Enumeration date
04/09/2021
Last updated
04/30/2021
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