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1134107204
ELLEN M IACOVONE
GARFIELD HTS, OH
NPI
1134107204
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Former Name
ELLEN M BOWENS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH NP-03023)
Enumeration Date
2006-01-09
Last Update Date
2007-07-11
Business Address
-- ELLEN M IACOVONE CNP
12300 MCCRACKEN RD
GARFIELD HTS, OH 44125-2914
Phone number: 216-581-0500
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Mailing Address
-- ELLEN M IACOVONE CNP
PO BOX 73327N
CLEVELAND, OH 44193-1094
Phone number: 440-879-0081
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