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Individual

ASHLEY M BANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1219 W RIVER RD N APT D1, ELYRIA, OH 44035-2839
(216) 695-3087
Mailing address
1219 W RIVER RD N APT D1, ELYRIA, OH 44035-2839
(216) 695-3087

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
145552
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145552
OHIO BOARD OF NURSING
OH
Enumeration date
11/15/2012
Last updated
11/15/2012
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