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Individual

ASHLEY MCCAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
763 DEWEY EXTENSION RD, LUCASVILLE, OH 45648-8763
(740) 820-2995
Mailing address
318 BOUNDARY ST, OAK HILL, OH 45656-1112

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.128922-M-IV
OH

Other

Enumeration date
05/23/2012
Last updated
05/23/2012
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