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Individual

MRS. LAURA MARIE URBAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
310 PROSPECT ST, FAIRPORT HARBOR, OH 44077-5810
(440) 749-1135
Mailing address
310 PROSPECT ST, FAIRPORT HARBOR, OH 44077-5810
(440) 749-1135

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
10/05/2022
Last updated
10/05/2022
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