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Individual

ALBERT DEWAYNE LADDIE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
U469 COUNTY ROAD 1D, LIBERTY CENTER, OH 43532-9598
(419) 875-4104
Mailing address
1905 PERRYSBURG HOLLAND RD, HOLLAND, OH 43528-9582

Taxonomy

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

Other

Enumeration date
03/19/2024
Last updated
03/19/2024
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