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Individual

CAROL P. MIZIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
230 BROWN STREET, BELLE VALLEY, OH 43717-0106
(740) 732-1347
Mailing address
PO BOX 106, BELLE VALLEY, OH 43717-0106
(740) 732-1347

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
076665
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2399462
OH
Enumeration date
03/21/2007
Last updated
07/09/2007
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