Organization
SANDUSKY LIONS WRESTLING CLUB
Active
Other names
Sandusky Lions
Organization subpart
No
Provider details
NPI number
Authorized official
JERREL T VALLIANT (OWNER)
(419) 975-4536
Entity
Organization
Contact information
Practice address
2525 W MONROE ST, SANDUSKY, OH 44870-1902
(419) 984-5794
Mailing address
1213 WAVERLY RD, SANDUSKY, OH 44870-4242
(419) 975-4536
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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