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1245910884
LUCHANTA LARENA HUMPHRIES
CANTON, OH
NPI
1245910884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.186017)
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
LUCHANTA LARENA HUMPHRIES LPN
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
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Mailing Address
LUCHANTA LARENA HUMPHRIES LPN
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 330-455-0374
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