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Organization

CONNIE SCARBROUGH

Active
Other names
Life Line Medical Ambulance
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CONNIE SCARBROUGH (OWNER)
(419) 768-4000
Entity
Organization

Contact information

Practice address
200 CENTER STREET, FULTON, OH 43321
(419) 864-3957
(419) 864-3967
Mailing address
200 CENTER STREET PO BOX 97, FULTON, OH 43321
(419) 864-3957
(419) 864-3967

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0213941
OH
Enumeration date
01/26/2007
Last updated
11/18/2024
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