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Individual

MR. DOUG J BATTISTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PC

Contact information

Practice address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 255-1700
(440) 205-2417
Mailing address
8445 MUNSON RD, MENTOR, OH 44060-2410
(440) 255-1700
(440) 205-2417

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1200321-CR
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356303911
OH
Enumeration date
07/17/2013
Last updated
07/17/2013
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