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1881189983
LISA MARTZ
MEDINA, OH
NPI
1881189983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
347C00000X Private Vehicle
Enumeration Date
2018-06-30
Last Update Date
2023-05-31
Business Address
LISA MARTZ
410 PROVIDENCE DR
MEDINA, OH 44256-4327
Phone number: 330-990-7543
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Mailing Address
LISA MARTZ
410 PROVIDENCE DR
MEDINA, OH 44256-4327
Phone number: 330-990-7543
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