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Organization
LAKE HEALTH
Active
Organization
LAKE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON JODY MINJARES MS, RD, LD (DIRECTORLAKEHEALTHWELLNESSINSTITUTE)
(440) 350-4512
Entity
Organization
Contact information
Practice address
7580 AUBURN RD STE 201, PAINESVILLE, OH 44077-9617
(440) 375-8153
(440) 375-8154
Mailing address
7580 AUBURN RD STE 201, PAINESVILLE, OH 44077-9617
(440) 375-8153
(440) 375-8154
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6868
OH
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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