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Individual

JAMES E QUALLS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4896 ASHLEIGH DR, DUBLIN, OH 43016-7413
(937) 360-6834
Mailing address
4896 ASHLEIGH DR, DUBLIN, OH 43016-7413
(937) 360-6834

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
259975
OH

Other

Enumeration date
02/27/2015
Last updated
03/02/2015
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