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SO

SOUTHWEST OHIO PAIN MANAGEMENT LLC

Adult Day Care

OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
MASON, OH
Licensed since
2009
Rate
Federal identifiers
NPI registry number1174850176
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients91
RevalidationDue 2024-10-31
Authorized official
NameBENJAMIN KASLE
TitleCOO
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