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1659422129
KELLY LYNN SPROUT
SANDUSKY, OH
NPI
1659422129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH 72088)
Enumeration Date
2007-01-13
Last Update Date
2019-12-05
Business Address
KELLY LYNN SPROUT M.D.
1925 HAYES AVE
SANDUSKY, OH 44870-4737
Phone number: 419-557-5177
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Mailing Address
KELLY LYNN SPROUT M.D.
1925 HAYES AVE
SANDUSKY, OH 44870-4737
Phone number: 419-557-5177
Copy
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