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Individual

SUMMELONG STANLEY SONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
6267 VINCENT GEORGE DR, CANAL WINCHESTER, OH 43110-8258
(740) 591-7183
Mailing address
6267 VINCENT GEORGE DR, CANAL WINCHESTER, OH 43110-8258
(740) 591-7183

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
350126
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0032581
OH

Other

Enumeration date
08/19/2009
Last updated
07/22/2024
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