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MARY THERESA FEAR
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1205457751
Individual Registrant: MARY THERESA FEAR
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
14174 RAVENNA RD NEWBURY, OH 44065-9511 US
Tel: 440-739-0094 Fax: --
Tel: 440-739-0094 Fax: --
Contact information for business:
14174 RAVENNA RD NEWBURY, OH 44065-9511 US
Tel: 440-739-0094 Fax: --
Tel: 440-739-0094 Fax: --
Registration Information:
NPI: 1205457751
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | OH | PN.156420 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
