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Individual

WENDY JAYNE VANOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.T

Contact information

Practice address
913 W LOGAN ST, SUITE D, CELINA, OH 45822-2000
(419) 586-1333
Mailing address
913 W.LOGAN ST., SUITE D, CELINA, OH 45822-2000
(419) 586-1333

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17414
OH

Other

Enumeration date
06/06/2012
Last updated
06/18/2012
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