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Individual

MR. EDWIN SCOTT NETHERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.N.

Contact information

Practice address
2953 ROCKEFELLER RD, WILLOUGHBY HILLS, OH 44092-1425
(440) 836-2532
Mailing address
2953 ROCKEFELLER RD, WILLOUGHBY HILLS, OH 44092-1425
(440) 836-2532

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
124528
OH

Other

Enumeration date
11/28/2011
Last updated
11/28/2011
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