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Individual

ALBERT E MOAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1824 36TH ST NW, CANTON, OH 44709-2739
(330) 209-4599
Mailing address
1824 36TH ST NW, CANTON, OH 44709-2739
(330) 209-4599

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/08/2021
Last updated
01/08/2021
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