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NPI 1508281767 · on the registry since 2014 · sole proprietor
Practice
- Address
- 500 W State St Ste A
Fremont, OH 43420 - Phone
- (419) 332-6454
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 163WS0200X
163WS0200X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-02-25
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