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Individual

TERESA DEAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11875 CASTLETON LN, GRAFTON, OH 44044-9701
(440) 452-9172
Mailing address
11875 CASTLETON LN, GRAFTON, OH 44044-9701

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
259893
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/01/2009
Last updated
11/28/2012
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