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Organization

A E VILLALBA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABDON E VILLALBA INC MD (PSYCHIATRIST)
(330) 929-3956
Entity
Organization

Contact information

Practice address
2321 SECOND ST, SUITE 114, CUYAHOGA FALLS, OH 44221-2520
(330) 929-3956
(330) 929-3829
Mailing address
2321 SECOND ST, SUITE 114, CUYAHOGA FALLS, OH 44221-2520
(330) 929-3956
(330) 929-3829

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27126
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3058739
OH
Enumeration date
07/19/2010
Last updated
08/24/2010
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