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1235374901
LATRICE KENYETTA WESLEY
FAIRBORN, OH
NPI
1235374901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN118904)
Enumeration Date
2008-12-10
Last Update Date
2008-12-10
Business Address
Miss LATRICE KENYETTA WESLEY LPN
906 N MAPLE AVE
FAIRBORN, OH 45324-5454
Phone number: 937-580-7188
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Mailing Address
Miss LATRICE KENYETTA WESLEY LPN
906 N MAPLE AVE
FAIRBORN, OH 45324-5454
Phone number: 937-580-7188
Copy
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