Individual
AGNES JEAN GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3206 FENMORE LN, REMINDERVILLE, OH 44202-8183
(216) 415-9197
Mailing address
3206 FENMORE LN, REMINDERVILLE, OH 44202-8183
(216) 415-9197
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
340141
OH
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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