Camille Marie Miklacic LPN

NPI 1568695484 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1568695484
Gender Female
Enumeration Date 08/26/2009
Last Updated 08/26/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
21 E WALNUT ST
JEFFERSON OH, 44047-1119, US
Phone (440) 576-3372
Fax
Business Location
21 E WALNUT ST
JEFFERSON OH, 44047-1119, US
Phone (440) 576-3372
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN113985
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According to our database, Camille Marie Miklacic LPN NPI is 1568695484, taxonomy code is 164W00000X and license number is PN113985, license state is located at Ohio. Camille Marie Miklacic LPN physically located at 21 E Walnut St, Jefferson OH, 44047-1119. NPI Number Camille Marie Miklacic LPN has the Individual type.

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1568695484 NPI number is provided on an as is basis without warranty of any kind. 1568695484 is maintained by the National Plan & Provider Enumeration System. The contents of Camille Marie Miklacic LPN are for informational purposes only.