SARA PROVENZALE

MARION, OH
NPI1831721950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH  C.1902038-TRNE)
Enumeration Date2020-02-06
Last Update Date2020-02-06
Business Address
SARA PROVENZALE
320 EXECUTIVE DR
MARION, OH 43302-6373
Phone number: 740-387-5210
Mailing Address
SARA PROVENZALE
320 EXECUTIVE DR
MARION, OH 43302-6373
Phone number: 740-387-5210
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