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1578383725
ALEXANDER CRAIG PROVAZNIK
PORTSMOUTH, OH
NPI
1578383725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OH RN.508736)
Enumeration Date
2024-10-14
Last Update Date
2024-10-14
Business Address
ALEXANDER CRAIG PROVAZNIK
902 GALLIA ST
PORTSMOUTH, OH 45662-4139
Phone number: 740-357-8615
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Mailing Address
ALEXANDER CRAIG PROVAZNIK
902 GALLIA ST
PORTSMOUTH, OH 45662-4139
Phone number:
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