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Individual

JOHN ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4747 290TH ST, TOLEDO, OH 43611-1961
(419) 671-6350
(419) 671-6395
Mailing address
4747 290TH ST, TOLEDO, OH 43611-1961
(419) 671-6350
(419) 671-6395

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-211869
OH

Other

Enumeration date
02/04/2014
Last updated
02/04/2014
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