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Individual

PAUL CHARLES HUSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
801 E WASHINGTON ST, MEDINA, OH 44256-3335
(330) 722-1069
Mailing address
801 E WASHINGTON ST, MEDINA, OH 44256-3335
(330) 722-1069

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172A00000X
Driver
Primary

Other

Enumeration date
05/14/2018
Last updated
05/14/2018
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