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Organization

BUCKEYE LAKE VILLAGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEISHA AMSPAUGH (FIRE CHIEF)
(740) 616-0112
Entity
Organization

Contact information

Practice address
10920 HEBRON ROAD SE, BUCKEYE LAKE, OH 43008
(740) 928-3473
Mailing address
10920 HEBRON ROAD SE, P.O. BOX 27, BUCKEYE LAKE, OH 43008
(740) 928-3473

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
08/29/2013
Last updated
12/11/2023
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