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Organization

PORTAGE VALLEY HEARING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REBECCA LEANN KRUKEMYER AU.D. (OWNER/AUDIOLOGIST)
(419) 287-2201
Entity
Organization

Contact information

Practice address
133 E FRONT ST, PEMBERVILLE, OH 43450-7032
(419) 287-2201
(419) 287-2202
Mailing address
133 E. FRONT STREET, P. O. BOX 687, PEMBERVILLE, OH 43450
(419) 287-2201
(419) 287-2202

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary

Other

Enumeration date
04/22/2008
Last updated
04/23/2008
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