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1306136270
LATISHA SMITH
PAINESVILLE, OH
NPI
1306136270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH pn 139226-m-iv)
Enumeration Date
2011-04-13
Last Update Date
2012-08-27
Business Address
-- LATISHA SMITH
283 BRENTWOOD DR
PAINESVILLE, OH 44077-2748
Phone number: 216-856-5625
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Mailing Address
-- LATISHA SMITH
283 BRENTWOOD DR
PAINESVILLE, OH 44077-2748
Phone number: 216-856-5625
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