DIANA LEE MACKENSEN

WILLOUGHBY, OH
NPI1629575329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: OH  APRN.CNP.021979)
Enumeration Date2018-04-09
Last Update Date2018-04-09
Business Address
DIANA LEE MACKENSEN FNP-C
36060 EUCLID AVE
WILLOUGHBY, OH 44094-4656
Phone number: 440-953-9600
Mailing Address
DIANA LEE MACKENSEN FNP-C
5699 CHARMAR DR
MENTOR, OH 44060-1902
Phone number: 440-749-9456
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