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1225779036
CODY ALTISON BURNETTE
SOUTH POINT, OH
NPI
1225779036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.181539.MEDS-IV)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
CODY ALTISON BURNETTE
178 PRIVATE ROAD 19423
SOUTH POINT, OH 45680-8831
Phone number: 740-534-1386
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Mailing Address
CODY ALTISON BURNETTE
1404 RACE ST STE 302
CINCINNATI, OH 45202-7366
Phone number:
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