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MR. MARK C DEMETRIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
955 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512-5035
(330) 726-9570
Mailing address
955 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512-5035
(330) 726-9570

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
COA 14997-NP
OH

Other

Enumeration date
08/19/2013
Last updated
08/19/2013
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