TELETHA PROVITT

REYNOLDSBURG, OH
NPI1922407501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  pn148847m-iv)
Enumeration Date2014-08-19
Last Update Date2014-08-19
Business Address
-- TELETHA PROVITT
2598 CASTINE WAY
REYNOLDSBURG, OH 43068-4153
Phone number: 614-893-8798
Mailing Address
-- TELETHA PROVITT
2598 CASTINE WAY
REYNOLDSBURG, OH 43068-4153
Phone number:
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