TINA GAYLE ETAYEM

SPRINGFIELD, OH
NPI1013263896
Former NameTINA GAYLE MITCHELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN 074282 MEDS)
Enumeration Date2012-07-30
Last Update Date2012-07-30
Business Address
Miss TINA GAYLE ETAYEM LPN
1736 HILLSIDE AVE
SPRINGFIELD, OH 45503-4508
Phone number: 937-831-3874
Mailing Address
Miss TINA GAYLE ETAYEM LPN
1736 HILLSIDE AVE
SPRINGFIELD, OH 45503-4508
Phone number: 937-831-3874
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