MELLIE J MACK

MARION, OH
NPI1780981084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN.134165-M-IV)
Enumeration Date2011-02-22
Last Update Date2011-02-22
Business Address
-- MELLIE J MACK LPN
2126 OAKDALE DR
MARION, OH 43302-8905
Phone number: 740-751-5744
Mailing Address
-- MELLIE J MACK LPN
2126 OAKDALE DR
MARION, OH 43302-8905
Phone number: 740-751-5744
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