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1578078549
STEPHANIE PROFERA
WARREN, OH
NPI
1578078549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: OH 163960)
Enumeration Date
2017-12-12
Last Update Date
2017-12-12
Business Address
STEPHANIE PROFERA
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number: 330-369-8022
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Mailing Address
STEPHANIE PROFERA
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number: 330-369-8022
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