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1831629245
CARISSA BONANY STEWART
MENTOR, OH
NPI
1831629245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.152364.MEDS-IV)
Enumeration Date
2017-06-18
Last Update Date
2022-07-21
Business Address
CARISSA BONANY STEWART LPN
4745 MARIGOLD RD
MENTOR, OH 44060-1135
Phone number: 440-227-2295
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Mailing Address
CARISSA BONANY STEWART LPN
33001 VINE ST APT E9
WILLOWICK, OH 44095-3359
Phone number: 440-223-3432
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