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Individual

ALYSSA JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
768 WEST ST, WADSWORTH, OH 44281-1669
(330) 419-3150
Mailing address
768 WEST ST, WADSWORTH, OH 44281-1669
(330) 419-3150

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-151716
OH

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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