Provider Information for 1922520055
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REBECCA JOY SWINDLE
Sex: Female
NPI: 1922520055
Last Updated: 2019-07-01
Certification Date:
Certification Date:
Details
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NPI | 1922520055 | ||||||||||||||||
Enumeration Date | 2017-07-11 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 18 N FORGE ST AKRON, OH 44304-1317 United States Phone: 330-762-0591 | Fax: | ||||||||||||||||
Primary Practice Address | 18 N FORGE ST AKRON, OH 44304 United States Phone: 330-762-0591 | Fax: | ||||||||||||||||
Secondary Practice Address(es) | 1341 MARKET AVE N | ||||||||||||||||
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