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Individual

ALLISON MARIE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
586 WIND RIDGE PL APT 11, TIPP CITY, OH 45371-1483
(937) 520-5173
Mailing address
586 WIND RIDGE PL APT 11, TIPP CITY, OH 45371-1483
(937) 520-5173

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 145812
OH

Other

Enumeration date
11/08/2012
Last updated
11/08/2012
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