Provider Information for 1902045313
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ERIC LIMEGROVER L.P.C.C.
Sex: Male
NPI: 1902045313
Last Updated: 2009-02-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1902045313 | ||||||||
| Enumeration Date | 2009-02-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 124 OLD FARM RD OXFORD, OH 45056-9003 United States Phone: 513-523-9324 | Fax: | ||||||||
| Primary Practice Address | 33 W WALNUT ST OXFORD, OH 45056-1747 United States Phone: 513-280-0561 | Fax: | ||||||||
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