Provider Information for 1245707256
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LINDA LEVINSON
Sex: Female
NPI: 1245707256
Last Updated: 2018-10-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1245707256 | ||||||||
| Enumeration Date | 2018-10-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 474 N YELLOW SPRINGS ST SPRINGFIELD, OH 45504-2463 United States Phone: 937-399-9500 | Fax:937-342-4242 | ||||||||
| Primary Practice Address | 474 N YELLOW SPRINGS ST SPRINGFIELD, OH 45504-2463 United States Phone: 937-399-9500 | Fax:937-342-4242 | ||||||||
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