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1962901488
LOREN LEA KEITH
NEWARK, OH
NPI
1962901488
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Former Name
LOREN LEA VANCE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH APRN.CNP.022292)
Enumeration Date
2018-02-10
Last Update Date
2018-02-10
Business Address
LOREN LEA KEITH
1930 TAMARACK RD
NEWARK, OH 43055-2303
Phone number: 740-522-7600
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Mailing Address
LOREN LEA KEITH
112 SPRING CREEK CT
JOHNSTOWN, OH 43031-9637
Phone number: 740-817-7313
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