Individual
AMELIA GWYN APPLEGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
130 WAYNE FRYE DR, MANCHESTER, OH 45144-9314
(937) 549-4777
(937) 549-2186
Mailing address
130 WAYNE FRYE DR, MANCHESTER, OH 45144-9314
(937) 549-4777
(937) 549-2186
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
111232
OH
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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