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Individual

ELEANOR LATRICE MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1936 FOWL RD APT 411, ELYRIA, OH 44035-4439
(269) 277-0213
Mailing address
1936 FOWL RD APT 411, ELYRIA, OH 44035-4439
(269) 277-0213

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
101248
WV
163W00000X
Registered Nurse
Primary
39685
OH
163W00000X
Registered Nurse
R43693
ND
163W00000X
Registered Nurse
RN712090
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
096344159
UNITED HEALTHCARE
OH
Enumeration date
04/06/2021
Last updated
04/06/2021
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