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Individual

KELLEY GAY EZENYILIMBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
405 W THORNTON ST, AKRON, OH 44307-1926
(330) 434-1743
(888) 328-5911
Mailing address
405 W THORNTON ST, AKRON, OH 44307-1926
(330) 434-1743
(888) 328-5911

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
07/17/2008
Last updated
07/17/2008
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