Individual
VINCENT E EASTERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 DIXIE HWY, ROSSFORD, OH 43460-1221
(419) 392-6789
Mailing address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085-3192
(614) 844-3800
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
OH
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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