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Individual

KATTIE YNEZ AMEGATCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1250 W NATIONAL RD STE 400, ENGLEWOOD, OH 45315-9506
(937) 836-6000
(937) 832-4805
Mailing address
1250 W NATIONAL RD, STE 400, ENGLEWOOD, OH 45315-9506
(937) 832-0006
(937) 832-0017

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.090959
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2929773
OH
Enumeration date
02/23/2007
Last updated
11/18/2020
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