AUTUMN SUSAN TRACE

JACKSON, OH
NPI1316084346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN050719)
Enumeration Date2007-01-31
Last Update Date2007-07-09
Business Address
MRS. AUTUMN SUSAN TRACE LPN
710 JACKSON HILL RD
JACKSON, OH 45640-9301
Phone number: 740-286-0212
Mailing Address
MRS. AUTUMN SUSAN TRACE LPN
710 JACKSON HILL RD
JACKSON, OH 45640-9301
Phone number: 740-286-0212
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