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Individual

MISS DIAMOND A MONDL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
235 NORTHWEST AVE, TALLMADGE, OH 44278-1811
(330) 620-9764
Mailing address
235 NORTHWEST AVE, TALLMADGE, OH 44278-1811
(330) 620-9764

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2578714
OH

Other

Enumeration date
05/03/2008
Last updated
05/03/2008
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