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Individual

STEPHANIE MACKALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
335 W. MCKINELY WAY, POLAND, OH 44514-1038
(330) 757-2732
(330) 757-2756
Mailing address
1787 LANCASTER DR, YOUNGSTOWN, OH 44511-1038

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4425
OH

Other

Enumeration date
05/29/2012
Last updated
05/29/2012
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