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1659040905
CHANCENIA RAESHELLE CLAY
COLUMBUS, OH
NPI
1659040905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.169039.MEDS-IV)
Enumeration Date
2021-09-09
Last Update Date
2021-09-09
Business Address
CHANCENIA RAESHELLE CLAY LPN
96 PINEWOOD DR
COLUMBUS, OH 43213-1249
Phone number: 614-902-6955
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Mailing Address
CHANCENIA RAESHELLE CLAY LPN
96 PINEWOOD DR
COLUMBUS, OH 43213-1249
Phone number:
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