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Individual

MRS. ANGELA TRACEY OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1627 SALE RD, COLUMBUS, OH 43224-2153
(614) 316-3794
Mailing address
1627 SALE RD, COLUMBUS, OH 43224-2153
(614) 316-3794

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
156851
OH

Other

Enumeration date
09/29/2021
Last updated
09/29/2021
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