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Susie Obenour

NPI 1457817256 · on the registry since 2019 · sole proprietor

Practice

Address
5522 New London Rd
Ashtabula, OH 44004
Phone
(440) 813-8111
Fax
(440) 536-5015

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-17

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