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1043618283
FAWNE MOON
YOUNGSTOWN, OH
NPI
1043618283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN-102367)
Enumeration Date
2014-12-19
Last Update Date
2014-12-19
Business Address
Mrs. FAWNE MOON
50 ESSEX STREET
YOUNGSTOWN, OH 44502
Phone number: 330-746-2240
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Mailing Address
Mrs. FAWNE MOON
3754 BAYMAR DRIVE
YOUNGSTOWN, OH 44511
Phone number: 330-402-4670
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