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1699103929
KATHERINE PROVENZANO
WOOSTER, OH
NPI
1699103929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OH COA.15283-NP)
Enumeration Date
2013-10-23
Last Update Date
2013-10-23
Business Address
MRS. KATHERINE PROVENZANO CNP
721 E MILLTOWN RD
WOOSTER, OH 44691-1255
Phone number: 330-287-4500
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Mailing Address
MRS. KATHERINE PROVENZANO CNP
721 E MILLTOWN RD
WOOSTER, OH 44691-1255
Phone number: 330-287-4500
Copy
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