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Individual

EVANGELINE MAHIMA STANDRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2021 PARK AVE W, ONTARIO, OH 44906-2259
(567) 560-5558
Mailing address
1395 EVERGREEN AVE W, MANSFIELD, OH 44905-2205
(469) 314-6211

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11009632
FL

Other

Enumeration date
10/13/2020
Last updated
12/09/2021
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