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Individual

MR. ANTWIN ANTONIO CAUSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
STNA-NURSE AIDE

Contact information

Practice address
2861 WILSON AVE, 2861 WILSON AVE., CINCINNATI, OH 45251-1070
(513) 674-7454
Mailing address
2861 WILSON AVE, 2861 WILSON AVENUE, CINCINNATI, OH 45251-1070
(513) 674-7454

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400469610305
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2586241
OH
01
400469610305
STNA-NURSE AIDE
OH
Enumeration date
12/22/2006
Last updated
07/09/2007
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