SARA THERESA PROVENS

CANAL WINCHESTER, OH
NPI1942535901
Former NameSARA THERESA LOSCKO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: OH  324937)
Enumeration Date2009-10-08
Last Update Date2009-10-08
Business Address
-- SARA THERESA PROVENS RN
5437 DUNGARVEN ST
CANAL WINCHESTER, OH 43110-8128
Phone number: 614-833-1579
Mailing Address
-- SARA THERESA PROVENS RN
5437 DUNGARVEN ST
CANAL WINCHESTER, OH 43110-8128
Phone number: 614-833-1579
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