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1952968273
MISTICA JO KINGSLAND
CIRCLEVILLE, OH
NPI
1952968273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 106602IV)
Enumeration Date
2019-05-22
Last Update Date
2022-01-03
Business Address
MISTICA JO KINGSLAND LPN
2065 STONERIDGE DR
CIRCLEVILLE, OH 43113-8956
Phone number: 740-500-1391
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Mailing Address
MISTICA JO KINGSLAND LPN
2065 STONERIDGE DR
CIRCLEVILLE, OH 43113-8956
Phone number: 740-500-1391
Copy
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