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Mountaga Tall

NPI 1134038292 · on the registry since 2026 · sole proprietor

Practice

Address
6992 Laurel Boat Ln
Canal Winchester, OH 43110
Phone
(216) 340-7532

Registry record

Primary taxonomy
171R00000X
171R00000X
Sex
Male
Record last updated
2026-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio