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Individual

RICHARD LATIMER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSS

Contact information

Practice address
223 W MAIN ST, RAVENNA, OH 44266-2741
(330) 577-4099
(844) 274-3002
Mailing address
223 W MAIN ST, RAVENNA, OH 44266-2741
(330) 577-4099
(844) 274-3002

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003161
OH

Other

Enumeration date
05/17/2022
Last updated
05/17/2022
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