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Individual

AMY MICHELLE PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14511 UNION RD, LAURELVILLE, OH 43135-9510
(740) 332-4109
Mailing address
14511 UNION RD, LAURELVILLE, OH 43135-9510
(740) 332-4109

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.113264
OH

Other

Enumeration date
08/02/2008
Last updated
08/02/2008
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