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1902590995
ALICIA FANNIN
IRONTON, OH
NPI
1902590995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: KY 107491)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
ALICIA FANNIN
2903 S 5TH ST
IRONTON, OH 45638-2866
Phone number: 740-646-6640
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Mailing Address
ALICIA FANNIN
2903 S 5TH ST
IRONTON, OH 45638-2866
Phone number: 740-646-6640
Copy
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