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Individual

MELISSA R WONORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
770 BALGREEN DR FL 1, MANSFIELD, OH 44906-4106
(419) 522-0320
Mailing address
5640 LARKSDALE DR, GALLOWAY, OH 43119-9693
(614) 314-2307

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.458579
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0027771
OH

Other

Enumeration date
10/02/2020
Last updated
10/26/2020
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