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Organization

JOHN M BRACE DO & ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN M. BRACE D.O. (OWNER/PHYSICIAN)
(440) 992-0846
Entity
Organization

Contact information

Practice address
2334 LAKE AVE, ASHTABULA, OH 44004-3440
(440) 992-0846
(440) 992-7879
Mailing address
2334 LAKE AVE, ASHTABULA, OH 44004-3440
(440) 992-0846
(440) 992-7879

Taxonomy

Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
34001908
OH

Other

Enumeration date
09/23/2010
Last updated
09/28/2010
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