Provider Information for 1528380144
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JAVONNE L SPIVEY
Sex: Female
NPI: 1528380144
Last Updated: 2020-10-06
Certification Date: 2020-10-06
Certification Date: 2020-10-06
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1528380144 | ||||||||
| Enumeration Date | 2010-02-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 13374 RIDGE RD NORTH ROYALTON, OH 44133-3801 United States Phone: 330-671-7255 | Fax: | ||||||||
| Primary Practice Address | 13374 RIDGE RD NORTH ROYALTON, OH 44133-3801 United States Phone: 330-671-7255 | Fax: | ||||||||
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