Individual
SUZANNE LEEANN PHILABAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 S LAWN AVE, COSHOCTON, OH 43812-2549
(330) 621-2174
Mailing address
777 S LAWN AVE, COSHOCTON, OH 43812-2549
(330) 621-2174
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401579431013
OH
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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