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1114587334
THERESA MICHELLE FRAZIER
CANTON, OH
NPI
1114587334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.132750.MEDS-IV)
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
THERESA MICHELLE FRAZIER LPN
1321 SPRING AVE NE
CANTON, OH 44714-2473
Phone number: 330-412-5607
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Mailing Address
THERESA MICHELLE FRAZIER LPN
1321 SPRING AVE NE
CANTON, OH 44714-2473
Phone number: 330-412-5607
Copy
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