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1245979285
SELENA MARIE GONZALEZ
LORAIN, OH
NPI
1245979285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 173264)
Enumeration Date
2022-05-28
Last Update Date
2022-05-28
Business Address
SELENA MARIE GONZALEZ
1139 W 20TH ST
LORAIN, OH 44052-3864
Phone number: 440-406-7783
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Mailing Address
SELENA MARIE GONZALEZ
1139 W 20TH ST
LORAIN, OH 44052-3864
Phone number: 440-406-7783
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