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1508510363
NICOLE LEE SUDIA
CANFIELD, OH
NPI
1508510363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
251E00000X Home Health
(Licence: OH 1501267)
Enumeration Date
2022-02-09
Last Update Date
2022-05-16
Business Address
NICOLE LEE SUDIA Independent Provider
6602 COVINGTON CV
CANFIELD, OH 44406-8161
Phone number: 234-232-4417
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Mailing Address
NICOLE LEE SUDIA Independent Provider
637 AETNA ST
SALEM, OH 44460-3752
Phone number: 234-232-4417
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