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Organization

GINCY KANDANKULAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENN MATHEW (OFFICE MANAGER)
(330) 755-2124
Entity
Organization

Contact information

Practice address
47 STATE ST, STRUTHERS, OH 44471-1939
(330) 755-2124
(330) 755-2276
Mailing address
47 STATE ST, STRUTHERS, OH 44471-1939
(330) 755-2124
(330) 755-2276

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35094608
OH

Other

Enumeration date
02/03/2010
Last updated
02/03/2010
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