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1003657842
KORISSA JEAN VAN OVER
BOWLING GREEN, OH
NPI
1003657842
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
KORISSA JEAN VAN OVER
1084 S MAIN ST STE A
BOWLING GREEN, OH 43402-4740
Phone number: 419-352-4624
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Mailing Address
KORISSA JEAN VAN OVER
1425 STARR AVE
TOLEDO, OH 43605-2456
Phone number: 419-693-0631
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