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1619708260
TRACEY JUDITH LATIA SENIOR
CANTON, OH
NPI
1619708260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: OH 602837170524)
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
TRACEY JUDITH LATIA SENIOR STNA
4104 ORCHARD DALE DR NW APT N
CANTON, OH 44709-2095
Phone number: 716-510-4216
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Mailing Address
TRACEY JUDITH LATIA SENIOR STNA
4104 ORCHARD DALE DR NW APT N
CANTON, OH 44709-2095
Phone number: 716-510-4216
Copy
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