LAKE MINOR

MASSILLON, OH
NPI1902215825
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
(Licence: OH  04611)
Enumeration Date2014-08-05
Last Update Date2014-08-05
Business Address
MRS. LAKE MINOR COTA/L
143 ROLLING PARK DR N
MASSILLON, OH 44647-8812
Phone number: 330-605-8878
Mailing Address
MRS. LAKE MINOR COTA/L
143 ROLLING PARK DR N
MASSILLON, OH 44647-8812
Phone number:
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