Individual
BILLY JAMES MAGNUS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6751 N CHESTNUT ST, RAVENNA, OH 44266-3903
(330) 296-3641
Mailing address
725 N FREEDOM ST, RAVENNA, OH 44266-2431
(404) 606-5628
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
219153
CA
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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