Individual
AGNES LARBI MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5980 PLEASANT AVE, FAIRFIELD, OH 45014-4619
(513) 442-3169
Mailing address
5980 PLEASANT AVE, FAIRFIELD, OH 45014-4619
(513) 442-3169
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 151995 M-IV
OH
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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