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Individual

DANA LYNN PAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
608 HAROLD AVE, MANSFIELD, OH 44906-2113
(419) 775-7471
Mailing address
608 HAROLD AVE, MANSFIELD, OH 44906-2113
(419) 775-7471

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2885365
OH
Enumeration date
04/09/2012
Last updated
04/09/2012
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