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Individual
MS. LOREE ALENE DURBIN
Active
Individual
MS. LOREE ALENE DURBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 089869
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2087996
MEDICAID PROVIDER
OH
Enumeration date
04/14/2008
Last updated
04/14/2008
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