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Individual

CHRISTY MAXWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2971 MAPLE AVE, ZANESVILLE, OH 43701-1406
(740) 297-5309
Mailing address
8675 CARSON RD, ROSEVILLE, OH 43777-9544

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN105395
OH

Other

Enumeration date
06/22/2021
Last updated
06/22/2021
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