Individual
CONNIE CLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W STATE ST STE A, FREMONT, OH 43420-2580
(419) 332-6454
Mailing address
4666 PRAIRIE RD, BELLEVUE, OH 44811-8923
(419) 217-4070
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN 168610
OH
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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