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Organization

MANOLO P MAPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANOLO P MAPA M.D. (PROPIETOR)
(330) 385-5297
Entity
Organization

Contact information

Practice address
129 W 4TH ST, EAST LIVERPOOL, OH 43920-4531
(330) 385-5297
(330) 385-2540
Mailing address
129 W 4TH ST, EAST LIVERPOOL, OH 43920-4531
(330) 385-5297
(330) 385-2540

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
30537203
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0254362
OH
Enumeration date
01/22/2008
Last updated
01/22/2008
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