Individual
MRS. MARY LOUISE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3694 STARRS CENTRE DR, CANFIELD, OH 44406-9514
(330) 702-1310
(330) 702-1344
Mailing address
3694 STARRS CENTRE DR, CANFIELD, OH 44406-9514
(330) 702-1310
(330) 702-1344
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50000225
OH
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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