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1194847632
IMOGENE C. PEAVY
DAYTON, OH
NPI
1194847632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN-082172)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Mrs. IMOGENE C. PEAVY
849 N EUCLID AVE
DAYTON, OH 45402-5909
Phone number: 937-278-2870
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Mailing Address
Mrs. IMOGENE C. PEAVY
849 N EUCLID AVE
DAYTON, OH 45402-5909
Phone number: 937-278-2870
Copy
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