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Individual

MR. VINCE BARONI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LPO; LPED

Contact information

Practice address
7322 CENTER ST, MENTOR, OH 44060-5802
(440) 266-0250
(440) 266-0251
Mailing address
9470 WHALERS CV, MENTOR, OH 44060-4576
(440) 266-0250
(440) 266-0251

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
LPO185; LPED3
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0161051
OH
Enumeration date
04/26/2006
Last updated
07/08/2007
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