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Individual

MISS JAMIE MELISA KNECE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
66 KNOLLWOOD CT, SOUTH BLOOMFIELD, OH 43103-2003
(740) 983-2640
Mailing address
4533 BROWNIE RD, PORT CHARLOTTE, FL 33953-5934
(941) 565-3454

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.134024-M-IV
OH

Other

Enumeration date
08/09/2010
Last updated
12/01/2019
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