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Individual

MISS ILLANA COUNCIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
224 IDLEWOOD RD, AUSTINTOWN, OH 44515-2830
(330) 519-1910
Mailing address
224 IDLEWOOD RD, AUSTINTOWN, OH 44515-2830
(330) 519-1910

Taxonomy

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

Other

Enumeration date
08/27/2025
Last updated
08/27/2025
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