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1407512304
MARNA MARIE REVLOCK
CANTON, OH
NPI
1407512304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OH APRN.CNP.0029897)
Enumeration Date
2021-11-15
Last Update Date
2021-11-15
Business Address
MARNA MARIE REVLOCK APRN
128 WERTZ AVE NW STE A
CANTON, OH 44708-4196
Phone number: 330-936-6863
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Mailing Address
MARNA MARIE REVLOCK APRN
2210 UNIVERSITY DR SE
MASSILLON, OH 44646-7443
Phone number: 330-936-6863
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