NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1710149059
PHYSICAL MEDICINE CENTER OF VAN WERT INC
140 FOX RD
VAN WERT
OH
458912475
1932670023
JTDM FAMILY PRACTICE LLC
200 SAINT CLAIR AVE
SAINT MARYS
OH
458852400
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