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Individual

DR. JAMES S. DEPIETRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2217 W FAIR AVE, LANCASTER, OH 43130-8821
(740) 654-3375
Mailing address
2217 W FAIR AVE, LANCASTER, OH 43130-8821
(740) 654-3375

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1555
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0114683
OH
01
350032426
RAILROAD PIN ID
OH
Enumeration date
09/30/2005
Last updated
12/21/2013
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