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Individual

DAMILYTA L TELL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
34900 CHARDON RD, SUITE #107, WILLOUGHBY, OH 44094-9161
(440) 951-5600
(440) 951-1293
Mailing address
34900 CHARDON RD, SUITE #107, WILLOUGHBY, OH 44094-9161
(440) 951-5600
(440) 951-1293

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
85219
OH

Other

Enumeration date
02/15/2006
Last updated
07/08/2007
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