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Individual

CALEB DOUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
781 FAIRGROUNDS RD STE A, MOUNT VERNON, OH 43050-1165
(740) 263-7997
Mailing address
781 FAIRGROUNDS RD STE A, MOUNT VERNON, OH 43050-1165
(740) 263-7997

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
017832
OH

Other

Enumeration date
01/13/2016
Last updated
01/02/2019
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