Individual
MRS. COLEEN CAROL MANNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10035 W PANTHER CREEK RD, COVINGTON, OH 45318-9723
(937) 473-5160
(937) 473-5732
Mailing address
10035 W PANTHER CREEK RD, COVINGTON, OH 45318-9723
(937) 473-5160
(937) 473-5732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 021694
OH
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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