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NPI Code Detail

MEDICARE: ANGELA MARIE CORBIN LPN

MEDICARE:   ANGELA MARIE CORBIN  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN105577OH

General Provider Information

NPI Number : 1326246281
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARIE CORBIN LPN
Provider Business Mailing Address
First Line : 2224 SHASTA PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-8308
Country : US
Telephone Number : 513-661-7588
Fax Number :
Provider Business Practice Location Address
First Line : 2224 SHASTA PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-8308
Country : US
Telephone Number : 513-661-7588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 07/08/2007

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Directions to “ ANGELA MARIE CORBIN LPN” Practice Location

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