Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 17, 2006
License(s)
35-05-2501 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 280 PATTONSVILLE RD | Jackson, OH 45640-9452 | 740-395-8805 |
| MAILING | 90 JACKSON PIKE | Gallipolis, OH 45631-1560 | 740-395-8805 |
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