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Individual

MRS. DIANA LYNN ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1712 TREETOP TRL APT D, AKRON, OH 44313-8573
(330) 459-9392
Mailing address
1712 TREETOP TRL APT D, AKRON, OH 44313-8573
(330) 459-9392

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN099496
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2201263
OH
Enumeration date
05/19/2008
Last updated
05/19/2008
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