Individual
DELORA ANN KOZUSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1847 REVERE PL, LORAIN, OH 44053-3229
(440) 282-3273
Mailing address
1847 REVERE PL, LORAIN, OH 44053-3229
(440) 282-3273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN319638
OH
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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