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Individual

ANGELA A CHAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
337 UNIVERSITY AVE, ELYRIA, OH 44035-7153
(440) 731-3281
Mailing address
337 UNIVERSITY AVE, ELYRIA, OH 44035-7153
(440) 731-3281

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN117593
OH

Other

Enumeration date
09/02/2012
Last updated
03/29/2016
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