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1568711018
DIANNE LYNN HAVANCHAK
CLEVELAND, OH
NPI
1568711018
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Former Name
DIANNE LYNN BOOMER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: OH COA.13770-NP)
Enumeration Date
2012-08-30
Last Update Date
2012-08-30
Business Address
Mrs. DIANNE LYNN HAVANCHAK ACNP
9500 EUCLID AVE G5
CLEVELAND, OH 44195-0001
Phone number: 216-444-4050
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Mailing Address
Mrs. DIANNE LYNN HAVANCHAK ACNP
9500 EUCLID AVE G5
CLEVELAND, OH 44195-0001
Phone number:
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