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Bernard Lee Pahl

NPI Registration Record

Provider / OrganizationNPIDate Certified
BERNARD LEE PAHL17004886082020-11-15
Entity TypeIndividual
Provider NameMr. Bernard Lee Pahl
Practice Office Address771 BRACKENRIDGE RD
VINCENT, OH US
Practice Office Telephone7403508184
Mailing Address771 BRACKENRIDGE RD
VINCENT, OH 457845028 US
Business Telephone7403508184
HPT Codes
CodeLicense NoState
171W00000X PRIMARYWV001686 WV
OPI Codes

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