Individual
MARK W VANWINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 VINEWOOD AVE, TALLMADGE, OH 44278-1347
(330) 388-0585
Mailing address
470 VINEWOOD AVE, TALLMADGE, OH 44278-1347
(330) 388-0585
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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