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Individual

MRS. ANNETTE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
381 ROYAL OAK BLVD, RICHMOND HTS, OH 44143
(216) 486-6193
Mailing address
19102 FAIRWAY AVE, MAPLE HTS, OH 44137
(216) 662-6576

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 148956
OH

Other

Enumeration date
08/05/2007
Last updated
08/05/2007
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