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1740219146
EVA PETKAC DONNELLY
CANTON, OH
NPI
1740219146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: OH 21)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
Ms. EVA PETKAC DONNELLY RD/LD
4689 FULTON DR NW
CANTON, OH 44718-2379
Phone number: 330-649-9400
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Mailing Address
Ms. EVA PETKAC DONNELLY RD/LD
4685 FULTON DR NW
CANTON, OH 44718-2379
Phone number:
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