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1053966168
KATIE TACKETT
DAYTON, OH
NPI
1053966168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OH rn.395260)
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
KATIE TACKETT
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number: 937-813-1737
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Mailing Address
KATIE TACKETT
1 ELIZABETH PL
DAYTON, OH 45417-3445
Phone number:
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