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Organization

VELNET 21 MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MILAGRO SANCHEZ (CEO)
(614) 805-4545
Entity
Organization

Contact information

Practice address
126 W. MCCONKEY ST., SHREVE, OH 44676-9301
(330) 789-1099
(330) 789-1109
Mailing address
126 WEST MCCONKEY ST., SHREVE, OH 44676-9301
(330) 789-1099
(330) 789-1109

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
09/19/2013
Last updated
09/19/2013
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