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Individual

MR. DOUGLAS MOSSING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
28870 WHITE RD, PERRYSBURG, OH 43551-3658
(419) 367-5154
Mailing address
28870 WHITE RD, PERRYSBURG, OH 43551-3658
(419) 367-5154

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
003442
OH

Other

Enumeration date
03/08/2012
Last updated
03/08/2012
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