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Individual

AMBER GANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
60330 TOWNSHIP ROAD 104, NEWCOMERSTOWN, OH 43832-9644
(330) 440-4833
Mailing address
60330 TOWNSHIP ROAD 104, NEWCOMERSTOWN, OH 43832-9644
(330) 440-4833

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 12201-M-IV
OH

Other

Enumeration date
04/30/2014
Last updated
04/30/2014
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