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Individual

MS. ANGELIQUE FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4523 DOWDEN ST, SPRINGFIELD, OH 45503-7413
(937) 207-4046
Mailing address
4523 DOWDEN ST, SPRINGFIELD, OH 45503-7413
(937) 207-4046

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-136033-M-IV
OH

Other

Enumeration date
06/03/2014
Last updated
06/03/2014
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