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Individual

ALISON KAYE ENTINGHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
799 S MAIN ST, LIMA, OH 45804-1519
(419) 229-2222
Mailing address
799 S MAIN ST, LIMA, OH 45804-1519

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
168707
OH
164W00000X
Licensed Practical Nurse
168707
OK

Other

Enumeration date
08/14/2019
Last updated
08/14/2019
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