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1922325240
TRACIE LYNETTE OWENS
LORAIN, OH
NPI
1922325240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN 120791 IV)
Enumeration Date
2010-04-26
Last Update Date
2017-05-31
Business Address
Miss TRACIE LYNETTE OWENS
3112 SURF AVE
LORAIN, OH 44053-1545
Phone number: 440-453-2116
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Mailing Address
Miss TRACIE LYNETTE OWENS
3112 SURF AVE
LORAIN, OH 44053-1545
Phone number: 440-453-2116
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