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Individual

CHEVONE R VENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
245 TARHE TRL, UPPER SANDUSKY, OH 43351-8700
(419) 294-1525
Mailing address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-5358
(419) 294-2233

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35096854
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3148212
OH
Enumeration date
05/20/2008
Last updated
05/13/2025
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