EMMA LEE MICCO

CANTON, OH
NPI1821332230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  140788MIV)
Enumeration Date2012-11-26
Last Update Date2012-11-26
Business Address
-- EMMA LEE MICCO
1341 MARKET AVE N
CANTON, OH 44714-2605
Phone number: 330-453-8252
Mailing Address
-- EMMA LEE MICCO
447 1/2 S LISBON ST
CARROLLTON, OH 44615-1434
Phone number: 330-418-1614
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