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Individual

MRS. ADJONDI MARIE GOSSEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 329-7500
Mailing address
48419 US HIGHWAY 20, OBERLIN, OH 44074-9488
(440) 387-1238

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021734
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0243931
OH
Enumeration date
08/11/2015
Last updated
11/05/2024
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