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1912617713
ALICE RAIN TACKETT
AKRON, OH
NPI
1912617713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN-114579MEDS)
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
ALICE RAIN TACKETT LPN
55 W WATERLOO RD
AKRON, OH 44319-1116
Phone number: 330-724-7715
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Mailing Address
ALICE RAIN TACKETT LPN
10701 EAST BLVD
CLEVELAND, OH 44106-1702
Phone number: 216-791-3800
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