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Individual

COLLEEN KAY RICHISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2191 BAILEY RD., CUYAHOGA FALLS, OH 44221
(330) 983-4465
Mailing address
2191 BAILEY RD, CUYAHOGA FALLS, OH 44221-3458
(330) 983-4465

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN066619
OH

Other

Enumeration date
06/23/2009
Last updated
06/23/2009
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