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Individual

MISTY DAWN FOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7117 COUNTY ROAD 59 LOT 129, MANSFIELD, OH 44904-8512
(419) 295-5040
Mailing address
7117 COUNTY ROAD 59 LOT 129, MANSFIELD, OH 44904-8512
(419) 295-5040

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400272730803
OH

Other

Enumeration date
02/28/2010
Last updated
02/28/2010
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