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1114001179
DOROTHEA ANN KOSTOLICH
MASSILLON, OH
NPI
1114001179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: OH RN 241307)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Ms. DOROTHEA ANN KOSTOLICH RN
1730 WARRINGTON RD NW
MASSILLON, OH 44646-2867
Phone number: 330-837-8190
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Mailing Address
Ms. DOROTHEA ANN KOSTOLICH RN
1730 WARRINGTON RD NW
MASSILLON, OH 44646-2867
Phone number: 330-837-8190
Copy
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