Individual
JACOB PANGALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 CHAPEL RD, AMELIA, OH 45102
(513) 604-0702
Mailing address
117 CHAPEL RD, AMELIA, OH 45102-1709
(513) 604-0702
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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