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Individual

JEFFREY SCOTT CARLILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2625 BLENHEIM AVE, ALLIANCE, OH 44601-4512
(330) 581-4514
Mailing address
2625 BLENHEIM AVE, ALLIANCE, OH 44601-4512
(330) 581-4514

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
S383890
OH

Other

Enumeration date
09/03/2024
Last updated
09/03/2024
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