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Organization

ERIC J PAUL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC JAN PAUL DPM (OWNER)
(330) 297-1211
Entity
Organization

Contact information

Practice address
6693 N CHESTNUT ST STE 12B, RAVENNA, OH 44266-3900
(330) 297-1211
(330) 297-6550
Mailing address
6693 N CHESTNUT ST STE 12B, RAVENNA, OH 44266-3900
(330) 297-1211
(330) 297-6550

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
36002415
OH

Other

Enumeration date
02/29/2008
Last updated
01/13/2017
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