Provider Information for 1437301322
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VINCENZO BRANCACCIO L.I.S.W.
Sex: Male
NPI: 1437301322
Last Updated: 2008-10-22
Certification Date:
Certification Date:
Details
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NPI | 1437301322 | ||||||||
Enumeration Date | 2008-10-22 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 527 N MERIDIAN RD YOUNGSTOWN, OH 44509-1227 United States Phone: 330-797-0070 | Fax:330-797-9148 | ||||||||
Primary Practice Address | 527 N MERIDIAN RD YOUNGSTOWN, OH 44509-1227 United States Phone: 330-797-0070 | Fax:330-797-9148 | ||||||||
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