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1174174965
LATEASHIA RUSSELL
TOLEDO, OH
NPI
1174174965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.172470.MEDS-IV)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
LATEASHIA RUSSELL LPN
723 PHILLIPS AVE BLDG E
TOLEDO, OH 43612-1351
Phone number: 419-407-5546
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Mailing Address
LATEASHIA RUSSELL LPN
723 PHILLIPS AVE BLDG E
TOLEDO, OH 43612-1351
Phone number: 419-407-5546
Copy
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