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1982049177
ALICE ACHA GWAN
FAIRFIELD, OH
NPI
1982049177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH pn 134891 iv)
Enumeration Date
2013-05-01
Last Update Date
2013-05-01
Business Address
-- ALICE ACHA GWAN LPN
1500 SHERWOOD DR APT 3F
FAIRFIELD, OH 45014-4165
Phone number: 513-410-9626
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Mailing Address
-- ALICE ACHA GWAN LPN
1500 SHERWOOD DR APT 3F
FAIRFIELD, OH 45014-4165
Phone number: 513-410-9626
Copy
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