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Individual

GARRISON R TRAINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
335 GLESSNER AVE, 5TH FLOOR, MANSFIELD, OH 44903-2269
(419) 756-5500
(419) 756-5502
Mailing address
335 GLESSNER AVE, ROOM 325, E. BUILDING, MANSFIELD, OH 44903-2269
(419) 520-2495
(419) 520-2496

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
362502
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024150
OH

Other

Enumeration date
01/29/2019
Last updated
01/25/2022
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