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Individual

PHILLIP ALAN LANGHALS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
709 GLENDALE DR, PORT CLINTON, OH 43452-2322
(419) 967-0973
Mailing address
709 GLENDALE DR, PORT CLINTON, OH 43452-2322
(419) 967-0973

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Enumeration date
10/14/2022
Last updated
10/14/2022
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