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Individual

MS. CONNIE SUE FRALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN.162235.MEDS-IV

Contact information

Practice address
8958 PIGEON ROOST RD., HILLSBORO, OH 45133
(937) 509-5244
Mailing address
31 E LAKE SHORE DR APT 23, CINCINNATI, OH 45237-1553
(937) 509-5244

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
162235
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0191235
OH
Enumeration date
08/31/2016
Last updated
07/21/2022
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