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1104057215
SANDRA K WATTS
MANSFIELD, OH
NPI
1104057215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
(Licence: OH 400679181007)
Enumeration Date
2009-08-06
Last Update Date
2009-08-06
Business Address
-- SANDRA K WATTS STNA
58 MASSA AVE
MANSFIELD, OH 44907-1224
Phone number: 419-522-7921
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Mailing Address
-- SANDRA K WATTS STNA
58 MASSA AVE
MANSFIELD, OH 44907-1224
Phone number: 419-522-7921
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