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Individual

MRS. BETHANY RACHELLE AMICONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
981 WOOSTER RD, MILLERSBURG, OH 44654-1536
(330) 674-1015
Mailing address
4896 EVANS CREEK RD SW, SUGARCREEK, OH 44681-7787
(330) 432-4837

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020237
OH

Other

Enumeration date
11/28/2016
Last updated
11/28/2016
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