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Individual

MR. JASON A DALIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RT(R)

Contact information

Practice address
1416 HANES RD, BEAVERCREEK, OH 45434-6508
(937) 408-8837
Mailing address
1416 HANES RD, BEAVERCREEK, OH 45434-6508
(937) 408-8837

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
460013
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
460013
ARRT
OH
Enumeration date
08/21/2010
Last updated
08/21/2010
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