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Individual

MR. ELBERT LELAND HANNA II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.N

Contact information

Practice address
7304 FIELDSTONE AVE, CONNEAUT, OH 44030-3182
(440) 224-3095
Mailing address
7304 FIELDSTONE AVE, CONNEAUT, OH 44030-3182
(440) 224-3095

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 109599
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2341068
OH
Enumeration date
06/12/2006
Last updated
03/31/2008
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