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Individual

MS. GLORIA J NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
1568 REDWOOD AVE, AKRON, OH 44301
(330) 690-3380
Mailing address
1568 REDWOOD AVE, AKRON, OH 44301
(330) 690-3380

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 132903 IV
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0093511
OH
Enumeration date
10/09/2014
Last updated
10/09/2014
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