Individual
MRS. ANNETTE GLORINE COTTRILL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
673 YALE DR, MANSFIELD, OH 44907-1934
(421) 954-3003
(419) 775-0038
Mailing address
673 YALE DR, MANSFIELD, OH 44907-1934
(421) 954-3003
(419) 775-0038
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN100412
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2294164
—
OH
Enumeration date
06/08/2006
Last updated
07/09/2007
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