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Individual

MS. CONNIE ANN PINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
8412 BRICK CHURCH RD, CAMBRIDGE, OH 43725-9107
(740) 255-7974
Mailing address
8412 BRICK CHURCH RD, CAMBRIDGE, OH 43725-9107
(740) 255-7974

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 120647
OH

Other

Enumeration date
06/18/2009
Last updated
06/18/2009
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