Individual
LAURA BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 CHRISTOPHER DR, FOSTORIA, OH 44830-3318
(419) 435-8112
Mailing address
201 DUCK POND RD, UPPER SANDUSKY, OH 43351-9612
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT.009125
OH
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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