Individual
MISS AUGUSTINA GYASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1067 LEGACY LN, PATASKALA, OH 43062-8078
(508) 471-6893
Mailing address
1067 LEGACY LANE, PATASKALA, OH 43062-8078
(608) 471-6893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
171628
OH
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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