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Individual

CONNIE SUE TILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
51 S WYNN RD, OREGON, OH 43616-2529
(419) 724-2289
Mailing address
51 S WYNN RD, OREGON, OH 43616-2529
(419) 724-2289

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R.N. 373385
OH

Other

Enumeration date
07/04/2007
Last updated
12/17/2012
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