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1487308318
MATTIE ADDICOTT
WARREN, OH
NPI
1487308318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: OH APRN.CNP.0030659)
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
MATTIE ADDICOTT CNP
7611 VENICE HEIGHTS DR NE APT SUITE
WARREN, OH 44484-1505
Phone number: 330-984-8415
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Mailing Address
MATTIE ADDICOTT CNP
7611 VENICE HEIGHTS DR NE APT SUITE
WARREN, OH 44484-1505
Phone number: 330-984-8415
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