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Yaroslav Mitsyuk
Optician in Kent, Ohio
NPI 1316637721

Yaroslav Mitsyuk is a Optician based in Kent, OH and is specialized in Optician. Yaroslav Mitsyuk practices in Kent, OH. The NPI Number for Yaroslav Mitsyuk is 1316637721 and holds a License No. OP.017409-S (Ohio).

The current practice location address for Yaroslav Mitsyuk is 250 Tallmadge Rd, Kent, OH and can be reached out via phone at 330-673-3516.

Location: 250 Tallmadge Rd, Kent, OH, 44240-7204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316637721
Provider Name
Yaroslav Mitsyuk
Credential
Provider Entity Type
Individual
Gender
Male
Address
250 Tallmadge Rd, Kent, OH, 44240-7204
Phone Number
330-673-3516
Fax Number
Provider Enumeration Date
05/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
250 Tallmadge Rd
City
Kent
State
Ohio
Zip
44240-7204
Phone Number
330-673-3516
Fax Number
person
Provider Business Mailing Address Details
Address
250 Tallmadge Rd
City
Kent
State
Ohio
Zip
44240-7204
Phone Number
330-673-3516
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
OP.017409-S (Ohio)
Definition
Definition to come...
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