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1891382750
LORRIE LEE TACKETT
MANSFIELD, OH
NPI
1891382750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2020-12-28
Last Update Date
2021-02-04
Business Address
LORRIE LEE TACKETT
1482 MAXWELL DR
MANSFIELD, OH 44906-2376
Phone number: 419-565-6075
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Mailing Address
LORRIE LEE TACKETT
480 KENTUCKY AVE
MANSFIELD, OH 44905-2015
Phone number: 419-565-6075
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