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1245915578
SONNIE PROVITT
TALLMADGE, OH
NPI
1245915578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-06-15
Last Update Date
2023-06-15
Business Address
SONNIE PROVITT
30 NORTHWEST AVE STE 120
TALLMADGE, OH 44278-1808
Phone number: 330-633-4187
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Mailing Address
SONNIE PROVITT
1801 WATERMARK DR
COLUMBUS, OH 43215-7088
Phone number:
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