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Individual

ROSEMARY PAVLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
200 E STATE ST, ALLIANCE, OH 44601
(330) 596-7227
(330) 286-5396
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN128393
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0758434
OH
01
29408
CRNA CERTIFICATE
PA
Enumeration date
02/13/2006
Last updated
06/25/2018
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