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Individual
MS. LISA ANNE WATKINS
Active
Individual
MS. LISA ANNE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN104890
OH
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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