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Organization

GOOD SHEPHERD COMMUNITY DOCTORS OFFICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. YVETTE ETNA THORNTON RN (CEO)
(330) 782-2800
Entity
Organization

Contact information

Practice address
30 W FRONT ST, YOUNGSTOWN, OH 44503-1417
(330) 782-2800
(330) 746-2855
Mailing address
30 W FRONT ST, YOUNGSTOWN, OH 44503-1417
(330) 782-2800
(330) 746-2855

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
RN245640
OH
261QH0100X
Health Service Clinic/Center
Primary
RN245640
OH

Other

Enumeration date
08/05/2009
Last updated
08/05/2009
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