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Rachel Lynn Bockelman

NPI Registration Record

Provider / OrganizationNPIDate Certified
RACHEL LYNN BOCKELMAN12751486452020-09-12
Entity TypeIndividual
Provider Name Rachel Lynn Bockelman
Practice Office Address2811 YOUNGSTOWN KINGSVILLE RD
CORTLAND, OH US
Practice Office Telephone3302402670
Mailing Address2811 YOUNGSTOWN KINGSVILLE RD
CORTLAND, OH 444109486 US
Contact Endpoints
Email [][email protected]Direct
HPT Codes
CodeLicense NoState
171W00000X PRIMARY
OPI Codes
7803343 MEDICAID OH

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