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Organization

OHIOGUIDESTONE

Active
Other names
Guidestone
Organization subpart
No

Provider details

NPI number
Authorized official
MANDY JACKSON (BILLING SUPERVISOR)
(440) 260-8328
Entity
Organization

Contact information

Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8379
Mailing address
434 EASTLAND ROAD, BEREA, OH 44017-2058
(440) 260-8327

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary

Other

Enumeration date
08/08/2012
Last updated
11/20/2017
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