Individual
MASON G EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OCPSA
Contact information
Practice address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
Mailing address
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509-1227
(330) 797-0070
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
OCPSA.161826
OH
405300000X
Prevention Professional
RA.162173
OH
Other
Enumeration date
08/28/2020
Last updated
01/05/2023
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