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Organization

AUGLAIZE AUDIOLOGY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VANESSA L LEE M.A.,CCC-A (AUDIOLOGIST/OWNER)
(419) 739-7575
Entity
Organization

Contact information

Practice address
801 BREWFIELD DR, WAPAKONETA, OH 45895-9394
(419) 739-7575
(419) 739-7577
Mailing address
801 BREWFIELD DR, WAPAKONETA, OH 45895-9394
(419) 739-7575
(419) 739-7577

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A-01048
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000342913
ANTHEM
OH
01
0007421631
AETNA
OH
05
2513828
OH
01
738875
BUCKEYE COMMUNITY HEALTH
OH
Enumeration date
11/03/2006
Last updated
04/14/2008
Update your record

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