Individual
LYNETTE EARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
398 SOMER ST, LEETONIA, OH 44431-1251
(234) 567-6046
Mailing address
398 SOMER ST, LEETONIA, OH 44431-1251
(234) 567-6046
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
3057347
OH
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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