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Individual

MS. TRACY LYNN FLOWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
96 MILL ST, NELSONVILLE, OH 45764-1230
(740) 753-2755
Mailing address
PO BOX 105, MASON, WV 25260-0105
(304) 882-3477

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN-080653
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2344501
OH
Enumeration date
12/27/2006
Last updated
07/09/2007
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