| Name | PROVIDENCE MEDICAL GROUP, INC. | 
|---|---|
| Street | 2912 SPRINGBOROR WEST SUITE 201 | 
| City | DAYTON | 
| Zip | OH 45439 | 
| Status | Active | 
| Effective date | 2008-07-15T00:00:00+02:00 | 
| Company | CENTERVILLE FAMILY PRACTICE | 
|---|---|
| Entity Number | 1793810 | 
| Company | CONTEMPORARY OB/GYN | 
|---|---|
| Entity Number | 1793812 |