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Organization

OHIO UNIVERSITY

Active
Other names
OU Community Health Programs
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHLEEN JOYCE TRACE RN (DIRECTOR-COMMUNITY HEALTH PROGRAMS)
(740) 593-9364
Entity
Organization

Contact information

Practice address
OHIO UNIVERSITY HERITAGE COLLEGE OF OSTEOPATHIC MEDICIN, GROSVENOR HALL 057, ATHENS, OH 45701-2979
(740) 593-9364
(740) 593-9536
Mailing address
OHIO UNIVERSITY HERITAGE COLLEGE OF OSTEOPATHIC MEDICIN, GROSVENOR HALL 057, ATHENS, OH 45701-2979
(740) 593-9364
(740) 593-9536

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2529704
OH
Enumeration date
05/10/2007
Last updated
11/28/2012
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